Caradigm and Geisinger Health Plan Launch Care Management, Cornerstone of Population Health Management Suite

Solution designed to help risk-bearing organizations improve care and health outcomes while reducing costs

Sep 16, 2013, 08:00 ET from Caradigm

BELLEVUE, Wash., Sept. 16, 2013 /PRNewswire/ -- Caradigm announced today it has released Care Management, the foundation of the company's population health suite of applications designed to enable healthcare organizations to successfully transition to value-based care models and accountable care. Caradigm Care Management was developed in partnership with Geisinger Health Plan, a leader in population health management widely recognized for its innovative case management models and pioneering use of incentive-based wellness programs. Caradigm Care Management helps healthcare organizations manage the care of populations to improve outcomes and the patient experience while reducing costs.



"Caradigm Care Management will allow ACOs and other healthcare organizations to coordinate care throughout every member of a patient's medical neighborhood and support network – including primary care providers, hospitals, specialists, family and community resources," said Brian Drozdowicz, vice president of Population Health at Caradigm. "They need the collaborative framework and analytics to manage a care plan to the optimal clinical and financial outcomes – no matter how rapidly a patient's condition and priorities change. We've made the connection between care quality and utilization efficiency as transparent as possible to help organizations realize their accountable-care and meaningful-use objectives."

The Care Management application delivers up-to-date clinical, financial and operational data to clinicians within their workflows in near real time, which enables care teams to use analytics to better understand patients, coordinate effectively on their care as they move from hospital to clinic to home, and respond quickly to their changing needs. With these capabilities, healthcare organizations can more effectively manage risk and achieve the goals of the Institute for Healthcare Improvement's Triple Aim, including improving the patient experience of care (quality and satisfaction), improving the health of populations, and reducing the per capita cost of care.

Specifically, Caradigm Care Management enables healthcare organizations and their care teams to:

  • Identify and stratify at-risk patients, and enroll patients in appropriate care programs
  • Formulate personalized care plans with problems, goals and interventions  
  • Manage patients and conditions through timely interventions enabled by near real-time, event-based alerts
  • Share patient care plans and progress using community-care documents
  • Understand and leverage the connections between quality and utilization/cost
  • Engage patients in their own care to improve their experience and outcomes

Geisinger Health Plan selected the Caradigm Intelligence Platform from among a dozen competitors as the foundation for its clinical and financial systems, and will continue to partner with Caradigm to develop a core set of population health management applications for use in managing risk, utilization/cost and wellness.

"We understand the role technology plays in improving quality and cost effectiveness. It has been key to our success," said Janet Tomcavage, chief administrative officer, at Geisinger Health Plan. "Partnering with Caradigm to develop Care Management will help us to better manage GHP's expanding populations by optimizing quality outcomes while managing total cost of care."

About Caradigm

Caradigm is a healthcare analytics and population health company dedicated to helping organizations improve care, reduce costs and manage risk. Caradigm analytics solutions provide insight into patients, populations and performance, enabling healthcare organizations to understand their clinical and financial risk and identify the actions needed to address it. Caradigm population health solutions enable teams to deliver the appropriate care to patients through effective coordination and patient engagement, helping to improve outcomes and financial results. The key to Caradigm analytics and population health solutions is a rich set of clinical, operational and financial data delivered to healthcare professionals within their workflows in near real time. This data asset serves as the foundation for a growing number of innovative healthcare applications developed by Caradigm and industry partners, providing rapid incremental value to customers.

About Geisinger Health Plan

Geisinger Health Plan, established in 1986, is headquartered in Danville, PA. As part of Geisinger Health System, Geisinger Health Plan has been recognized nationally as a model for health care reform with documented success in innovative programs such as the patient-centered medical home. The plan serves approximately 450,000 members in Pennsylvania, Delaware, Maine, New Jersey and West Virginia. Coverage is available for businesses of all sizes, individuals and families, and Medicare and Medicaid beneficiaries. Geisinger Health Plan is consistently ranked among the top-ranked Private and Medicare health plans in Pennsylvania and the nation, according to the National Committee for Quality Assurance's (NCQA) annual Private and Medicare Health Insurance Plan Rankings. For more information, visit

SOURCE Caradigm