CareAnalyzer®
InfoSTEPP
HEDIS Reporting
RiskAnalyzer™
Johns Hopkins ACG System
| Care Management |
| DSTHS’ care management portfolio, including best-of-breed medical utilization management and case management solutions, aid health plans in controlling medical costs, delivering quality care and automating paperwork associated with these processes. Additionally, by centralizing member information that represents the sum of the member’s healthcare experiences via integrated care, utilization, case and disease management, the health plan facilitates the coordination of care provided which improves both the continuity and quality of care, and lowers the costs of delivered care. |
CareAnalyzer®
Improve Your Care Management ROI
Be more successful selecting members who
will benefit
most
from care management using
DSTHS CareAnalyzer®.
The
unique analytic
approach combines elements of care
opportunities, risk and provider effectiveness
to provide a
more complete member
assessment – all within a single
integrated
tool.
Identify High Risk Members
The Johns Hopkins ACG® System embedded
within DSTHS CareAnalyzer includes a
state-of-the-art suite of predictive models
designed to make the most of available
medical and pharmacy data. The predictive
models provide innovative and accurate ways to more effectively target individual high-risk patients and estimate their resource use based on clinically relevant classifications.
Isolate Manageable Gaps in Care
Since its introduction in 1993, HEDIS® has become the gold standard in managed care performance measurement. Industry acceptance of the HEDIS methodology, the transparent nature of the measure calculations and their stability over time make it an ideal framework for the identification of members with manageable gaps in care who may benefit from additional health plan services.
Engage Providers to Support Effective Care
A member’s physician plays a key role in preventive health as a primary point of contact for healthcare. DSTHS CareAnalyzer supports physician-specific measurement using standard specifications developed by the National Committee for Quality Assurance (NCQA). The information gives providers the opportunity to understand and address any care gaps within their member base.
Competitive Advantage
- Be more effective by strategically selecting members who will benefit most from care management.
- Improve coordination of care by using a single integrated tool that portrays a more complete and actionable member assessment.
- Utilize industry accepted methodologies that support data driven and clinically-based best practice.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
ACG® is a registered trademark of The Johns Hopkins University.
For more about DSTHS CareAnalyzer™, contact us at inforequests@dsthealthsolutions.com.
