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Risk Prediction: Medical + Pharmacy Data
Combining medical and pharmacy data with other data sources such as employee Health Risk
Assessments (HRAs), and lab data is very powerful. Analyses based on such a rich data stream
identify gaps in care and provide for detailed risk identification and stratification reports.
Based on this thorough identification and stratification process, strategies for a full range of
passive, moderately active and active intervention programs are deployed as appropriate. These
range from Medication Therapy Management (MTM) programs to improve and maintain
compliance to passive and moderately active Disease State Management (DSM) interventions,
which can include web portals, letters, phone calls, email and other outreach methodologies, to
active DSM and Care Management (CM) programs.
Data warehousing and data re-acquisition from external partners and sources are standard
components of this approach to containing healthcare and pharmacy benefits costs, as are
Annual Savings and Value Reports which document activities, outcomes, savings and cost
avoidances.
For more information, please contact us
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