Account Reporting

PROBLEM:

A purchaser of a wellness program is most interested in these questions: Did this program result in better health, lower health care costs and increased productivity and quality of life among those participating in the program?How do these results compare with other groups that have participated in the program? How do program participants’ health and risk status compare before and after the implementation of the program?

Responding to these questions and evaluating ROI on various wellness programs requires a lot of time, effort and cost. Visual Intelligence develop a unique reporting platform that uses industry standard methodology and measure sets to show the true value and impact of wellness, disease management and population health management programs.

OUR CAPABILITIES:

Visual Intelligence’s powerful product DiseaseManagementVIewscaptures, measures and monitors outcomes for variouspatient populations across time.dmVIews is a comprehensive Disease Management and Care Management analytic tool that evaluates the effectiveness of a wellness program offering unsurpassed levels of insight in to those members of your population that are being managed for certain disease conditions. The tool brings together large volumes of clinical and administrative data and key patient information including:

Member information:

• Eligibility, Demographic, Socio-Economic, Geographic Medical information:
• Inpatient medical claims, Outpatient medical claims, Professional medical claims
• Pharmacy claims, Lab tests
Disease/Care Management Information: • Identification algorithms for Diseases (e.g. Asthma, Diabetes, CHF, COPD, Hypertension, Cancer)
• Risk adjusted case mix severity scores and stratification
• CM Outreach Activity data, including calls, behavioral assessments, Total days in program, etc.

Provider Information:
• Servicing Provider, PCP, Facility, IN-OUT Network providers, etc.

dmVIews model uses industry accepted outcome metrics related to medical costs and utilization, drug costs and utilization, treatment compliance and adherence to medication for patients enrolled in chronic disease management programs and other programs. The solution offers the ability to rapidly view, filter, sort, analyze, and report on this data from a variety of perspectives. Examples of basic functionality provided to Analysts include:

Capability to longitudinally assess and compare Medical Utilization and Medical Cost by program and compare with non-diseased comparison group by PMPM measures, IP visit, Readmission, OP visits, Professional visits, and ER visit rates.

Capability to longitudinally assess Drug Utilization and Drug Cost by program and compare with non-diseased comparison group and view reports by drug name, dose, mean days supply, script count, MPR, persistent/non-persistent, and poly/single pharmacy.

View your CM population Geo-spatially by condition/co-morbidity, Facility catchment, Provider/Specialty care access metrics at the state, city, zip level.

Ability to view population Demographic/Socio-Economic characteristics (age, sex, marital status, race/ethnicity, education, occupation, employment status, and income level) in the aggregate by managed condition and drill down to individual recipient level.

Evaluate the financial performance of disease management programs. Traditionally, the comparison of costs/utilizations is made with what the costs/utilizations “might have been” without the program in place. dmVIews automates the most difficult part of these types of evaluations.dmViews uses three – four years of claims data to compare chronic trend with non-chronic trend for the same population

WHO CAN USE:

Combining techniques of VisualData Analysis and Predictive Analytics, Visual Intelligence has created a conceptual model that can be used by clinicians, health economists, actuaries and other decision makers involved in health care managing and financing aspects.

PRODUCT SOLUTION