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HDI’s Population IntelligenceTM
is the most advanced and most
comprehensive population health
management solution available today.
Utilizing a multi-dimensional, predictive
risk-adjustment and stratification
methodology, Population Intelligence
identifies high-risk, high-cost patients,
stratifies them into risk pyramids and
actionable worklists, and provides
evidence-based recommendations
for more effective and timely case
management, care coordination, and
discharge planning.
Population Intelligence will benefit all organizations needing meaningful insights into the cost, illness burden,
and utilization behavior of their patient population. Clients include hospitals and health systems, ACOs, IDNs,
commercial payers, self-insured employers, and TPAs. Product features include:
Accurate Population Risk-Adjustment and Stratification
Multi-dimensional risk profiling:
CMS and AHRQ-derived chronic condition categorization.
Population profiling using the proven Johns Hopkins Adjusted Clinical Groups® (ACG®)
suite of predictive models.
Innovative risk scoring and stratification methodology using HDI’s FathomTM system.
Detailed patient and population risk profiles.
Innovative age-adjusted, condition-specific risk stratification pyramids.
Predictive Analytics for identifying high-risk patients
and forecasting healthcare utilization
Implementation of the Johns Hopkins Adjusted Clinical Groups® (ACG®) System.
Identification of morbidity and illness burden of entire patient populations.
Dx and Rx-based analytics on care gaps, disease patterns, age, gender, and utilization.
Geographical Population Mapping
Live map of disease prevalence by state, county, city, ZIP, gender, age, and condition.
Geographical trending of claims (paid and rejected), and utilization of medical services.
Length of Stay analysis by geographical location.
5000 Arlington Centre Blvd., Suite 2130, Upper Arlington, OH 43220
PopulationIntelligence.com | (800) 585-0375 | © 2015 Health Data Intelligence. All Rights Reserved.
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ED Utilization
Geographical monitoring and trending
of ER visits by gender and condition.
ED utilization by patient type,
method of arrival, and reimbursement rate.
Up to date ED “Frequent Flyer” worklists.
Pharmacy Utilization
Patient-specific Rx histories.
Utilization rates, claims, and payments for injectable drugs.
Top 10 injectable drugs by gender, condition, specialty and other dimensions.
Case Management, Care Coordination and Discharge Planning
Peer reviewed, evidence-based diagnosis and treatment recommendations.
Detailed patient profiles with contact information for timely intervention and outreach.
Patient-specific recommendations for case management and discharge planning.
Financial Analyses
AR analysis: Days from patient encounter to claims paid.
Total and average payment by disease condition, specialty, gender, and revenue code.
Claims status analysis (paid vs. rejected), reimbursement rates by condition and specialty.
Side-by-side Comparisons
Compare performance between time periods on metrics such as:
Length of Stay
Care Gaps
Identify gaps in care for the
conditions such as:
Patient volumes by chronic condition
Diabetes
Providers and Specialties
Asthma
Claims and Payments
Hypertension
ED utilization
Population Intelligence is available to hospitals, health systems, and ACOs as part of HDI’s
Enterprise Analytics suite or as a standalone product for third party administrators (TPAs), self-insured
employers, provider groups, and commercial payers.
Schedule a demo with us today.
5000 Arlington Centre Blvd., Suite 2130, Upper Arlington, OH 43220
PopulationIntelligence.com | (800) 585-0375 | © 2015 Health Data Intelligence. All Rights Reserved.
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