Carewise Use of Predictive Analytics, Models and Algorithms
Carewise Health has an exlcusive contract with Certilytics, Inc. to deploy proprietary data analytic models to support Clinical Care Management and Payment Integrity product offerings.
Clinical Care Management
Analytics are used to identify and predict member behavior and potential impact on clinical outcomes … the models are designed to incorporate and use both clinical and non-clinical data sources to enhance the predictive features of the models … this allows nurses engagers to focus on those members at timely and significant points of care episodes to intervene, and to intervene with tools and input most likely to impact a member’s behavior and health care activity …
