VALUE-BASED RISK ANALYTICS

Understanding and addressing the sociodemographic challenges patients face outside of the hospital is key to improving individual health outcomes and partnering with patients.

Whole Patient Insight® Creating Personalized Engagement

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VALUE-BASED RISK ANALYTICS

Strategic Risk Evaluation

Care Delivery

patient engagement

Patient Engagement

SOLUTION OVERVIEW


According to the CDC, sociodemographic and environmental factors impact up to 70% of consumer health

With Connance’s Value-Based Risk Analytics, hospitals and health systems can:

  • Stratify patient populations to evaluate risk, identify community needs, and develop intervention strategies
  • Proactively and automatically assess individual patient risk to inform care plan development and optimize care transitions
  • Uncover hidden sociodemographic risk factors to prioritize and personalize patient outreach and engagement

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Strategic Risk Evaluation

Proactively assess the sociodemographic factors impacting population health.

 

The Challenge

people graph chartSociodemographic challenges have an outsized impact on consumer health, utilization, and outcomes. Understanding and addressing sociodemographic challenges is critical to achieving success in risk-based contracts and population health initiatives. However, it is challenging and time-consuming to collect this information in a manner that provides a sufficient level of detail and insight.

The Solution

The Connance Value-Based Risk Analytics Solutions mine data to automatically assess the sociodemographic risk factors that impact wellness. Risk scores are returned at the individual patient level, so payers and providers can target patient-specific interventions and understand holistic population risk. Connance’s solutions do not require prior clinical and claims data to provide highly actionable insights, making them highly effective to:

  • Support Community Needs Assessments by understanding the sociodemographic challenges of your patient population
  • Evaluate hidden sociodemographic risk factors before entering into value-based payer agreements
  • Identify the highest risk patients within population subgroups for proactive engagement or enrollment in high-intensity care programs

Care Delivery

Develop care plans based on a comprehensive understanding of patient risk.

The Challenge

As organizations take on more risk, allocation of care team time and resources is increasingly important. Which patients are most at-risk? What challenges are they facing? What can be done to improve their situation? These questions are critical for prioritizing and directing patient interactions. However, much of this insight is not gained until a patient encounter and physical interview by a case manager or social worker, and often patients are not forthcoming about their sociodemographic challenges.

The Solution

The Connance Value-Based Risk Analytics Solution acts as an automated, consistent pre-screening and risk stratification tool. Risk scores embed seamlessly into existing systems and worklists to help front-line staff prioritize patient interactions. Reducing readmissions and optimizing care transitions requires understanding and mitigating the factors that affect a patient’s health outside the clinical setting, and Connance’s predictive models are proven to predict readmissions more accurately than clinical and claims-based models. This sociodemographic insight is also meaningful in supporting chronic care management, bundled payment programs, and other initiatives that require mitigation of social, economic, and environmental risk.

Download the results of a Connance data study.

Patient Engagement

Personalize patient outreach to support health maintenance.

 

The Challenge

When trying to promote healthy behaviors, improve adherence to care plans, and manage chronic conditions, patient preferences and challenges must be accounted for. High-intensity patient engagement strategies are not financially or operationally feasible for a large patient population. Additional insight is needed to inform which patients need the most assistance, and which communication methods will keep them engaged, satisfied, and healthy.

The Solution

The Connance Value-Based Risk Analytics Solution provides insight into the factors that influence patient behavior and outcomes. Patients with sociodemographic challenges are less likely to be engaged and satisfied with their care, and more likely to miss follow-up appointments. Understanding these risk factors allows providers and payers to customize patient engagement strategies. With Connance, you can intelligently direct the frequency of outreach, type of communication, and services offered to improve reach-rate and care plan adherence.