Predictive Modeling

Payor Technology Solutions that Drive Insight and Actionable Information

Care360™ Predictive Modeling focuses on proactively identifying high-risk members so your disease and case management programs can intervene effectively before a high-cost incident is incurred. Care360 Predictive Modeling not only identifies who is at significant risk, it also identifies what is driving their risk and highlights any gaps in their care.

Via the Care360™ Physician Portal, Physicians can now be effectively engaged in the care management process through sharing of clinical data, disease state identification of their patient population, and compliance reporting against pertinent clinical guidelines.

Care360 Predictive Modeling offers:

• Analysis based on claims, pharmaceutical history and lab results
• Stratification of patient based on projected risk
• Gap reporting against evidence-based guidelines
• Physician, employer and member-centric reporting