CareAnalyzer From DST Health Solutions Helps Health Plans Improve Care Management and Quality for Members
29 10월 2008 - 11:08PM
PR Newswire (US)
Solution Analyzes Patient Risk, Care Opportunities and Provider
Performance to Increase Effectiveness of Member Care Management
Programs BIRMINGHAM, Ala., Oct. 29 /PRNewswire/ -- DST Health
Solutions today announced the launch of CareAnalyzer(TM), an
analytic solution that combines elements of patient risk (The Johns
Hopkins University ACG(R) Predictive Models), care opportunities
(HEDIS(R)) and provider performance (NCQA's pay for performance
program). CareAnalyzer helps health plans meet reporting
requirements for the Healthcare Effectiveness Data and Information
Set (HEDIS) and effectively identify high-risk members for care
management. CareAnalyzer has been selected by a number of health
plans, including CareOregon and FirstCarolinaCare Insurance
Company. "CareAnalyzer combines a variety of data sources to
produce actionable information health plans can use to improve the
health of their members," said Steve Sabino, president of DST
Health Solutions. By analyzing patient risk data, predictive
modeling and HEDIS requirements, CareAnalyzer helps health plans
identify high-risk members with chronic conditions such as
diabetes, asthma or lower back pain. High-risk members then may be
enrolled in care management programs that include preventive health
screenings and treatment plans tailored to their condition.
"CareAnalyzer helps us identify members who need care management
and intervention, which improves health outcomes and will
ultimately save employers premium dollars down the road," said
Craig Humphrey, chief operating officer of FirstCarolinaCare. "This
tool also allowed us to automate HEDIS reporting, and reduce the
staff time needed for this function." CareAnalyzer incorporates the
ACG System, a scientifically proven software tool for provider
profiling, predictive modeling, resource management, and
reimbursement rate adjustment. The ACG System was developed by The
Johns Hopkins University Bloomberg School of Public Health, and is
distributed exclusively by DST Health Solutions. About DST Health
Solutions DST Health Solutions delivers solutions and business
process outsourcing services that improve efficiency, reduce
operational costs, increase speed to market and improve customer
service for health plans, consumer-directed plans, government plans
(Medicare Advantage/Part D and Medicaid) and physician practices.
DST Health Solutions' enterprise applications, and ASP and BPO
services support 390 healthcare clients, representing more than 38
million covered lives, 360 million health plan claims, 35 million
physician business transactions and 700,000 consumer-directed
members annually. For more information about DST Health Solutions,
contact 800.272.4799 or or visit
http://www.dsthealthsolutions.com/. The information and comments
above may include forward-looking statements respecting DST and its
businesses. Such information and comments are based on DST's views
as of today, and actual actions or results could differ. There
could be a number of factors affecting future actions or results,
including those set forth in DST's latest periodic financial report
(Form 10-K or 10-Q) filed with the Securities and Exchange
Commission. All such factors should be considered in evaluating any
forward-looking comment. The Company will not update any
forward-looking statements in this press release to reflect future
events. DATASOURCE: DST Health Solutions CONTACT: Chris Goldman,
Media Relations of DST Health Solutions, +1-816-843-9087 Web site:
http://www.dsthealthsolutions.com/
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