“Person-focused” healthcare management means genuinely knowing your members and accurately forecasting their needs over time. Identifying patients at high risk, understanding provider performance, forecasting healthcare utilization based on medical and/or pharmacy claims, and identifying equitable payment rates can help you measure morbidity and help improve accuracy and fairness.
The Johns Hopkins ACG® System, included in our CareAnalyzer® solution has been used in commercial and research settings worldwide, longer and more extensively than any other system on the market today. It uniquely helps payers measure the impact of multi-morbidity by recognizing patterns of disease. As the exclusive US distributor of the Johns Hopkins ACG® Systems, we help payers and providers in all markets.
What it means for you: