Where are you in your care transformation journey?
Every day, we are helping providers transform the way they deliver care, support enhanced patient outcomes and improve use of data.
Our risk adjustment engine, driven by the algorithms in the Johns Hopkins ACG® (Adjusted Clinical Group) model and other industry standard or customer-specific risk models, helps predict an individual’s healthcare utilization and cost over time using information such as medical claims, electronic health records and other key patient demographics. We deliver a quantitative picture of potential health risks and cost drivers within a patient population, and can combine risk criteria with other domains, such as demographics, specific conditions or past visit history to narrow down the population of interest even further.
Risk data can be used to alert you to various patient populations, such as those considered to be at risk for high utilization, or a high probability of a specific critical event. By identifying and stratifying patients within selected risk profiles, providers can focus their care management resources on the highest-risk patients to help increase quality and reduce cost of care.
Use risk data to alert you to those patients who fall into a particular population, such as risk for admission; indication of high utilization; similar diagnostic or therapeutic responses; signs of frailty; or a high probability of a specific event. Data can be segmented by multiple criteria, including:
With HCC coding and risk score management, Philips can help determine CMS HCC categories and calculate risk adjusted scores based on beneficiary demographics and diagnosis data to identify potential gaps.
With financial analytics, you can distill disparate data into insights that allow you to prioritize and invest in programs that support your contractual benchmarks and strategic objectives. Contact Philips to learn how.
Philips care gap identification functionality makes patient data easy to access and consume, so it helps seamlessly deliver actionable insights for you to deliver appropriate care at the right time.
Learn about Philips' solutions to managing population health data that help you create insights into the most effective way to deliver patient care.
Learn how Philips care coordination capabilities help turn the insights gained from your data into interventions that help improve quality and care outcomes and activate patients to take control of their health.
Learn how Philips’ patient activation programs allow you to virtually interact with patients in their homes and even in skilled nursing and other post-acute care facilities.
Learn how our clinically credentialed and expert staff can help you gain a greater understanding of potential gaps and inefficiencies within your organization.
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