HARRISBURG, Pa., May 4, 2016 /PRNewswire/ -- Geneia, a company of experienced change agents creating analytic and technology solutions to improve healthcare, today announced CEO Mark A. Caron, CHCIO, FACHE, will present how employer coalitions are using advanced analytics for real-time collaboration and accountability to improve employee healthcare. In his May 5 address to the Lehigh Valley Business Coalition on Healthcare Annual Conference, Caron will explore the opportunity employer coalitions have to drive improved performance by payers and providers through predictive analytics, and ultimately achieve the quality and cost goals of their member employers.
For decades, employer coalitions like the Lehigh Valley Business Coalition on Healthcare and the National Business Coalition on Health have convened businesses and payers to work together to advance employee healthcare. They have created self-funded, coalition-led health plans along with tools like eValue8™ to measure and evaluate plan performance. Forward-looking coalitions, like Lehigh Valley Business Coalition on Healthcare, now are using Geneia's Theon® platform to efficiently and cost-effectively integrate and normalize clinical information with data from claims, pharmacy, and psychographic sources. This leads to more accurate predictions that guide care and cost decisions at the individual and population levels.
"With Geneia's advanced analytics and insights platform, employer coalitions know precisely what's fueling cost increases for their member employees, and what can be done to mitigate them," said Caron. "For example, employer coalitions and their member employers can view all inpatient hospital admissions, discharges and emergency department visits at a glance, along with diagnoses and treating providers. Unwarranted patterns of use and treatment readily emerge from the data, allowing the coalitions and member employers to work together to drive appropriate care."
In just 20 minutes on the Theon analytics platform, one Fortune 500 company with more than 15,000 employees found a range of cost drivers along with potential remedies that could save more than $500,000 in medical costs, while simultaneously improving the quality of care. The employer's findings included:
- Over $500,000 in out-of-network utilization prime for possible redirection to in-network services and/or network expansion opportunities,
- 68 employees who visited the emergency department in the past year but not their primary care physician, and
- 200+ employees with high-risk conditions who had not seen their primary care physician in the past 12 months for follow up and case management.
For more information about the Lehigh Valley Business Coalition on Healthcare Annual Conference, see http://conta.cc/1S7GpK8.
Geneia specializes in the development of advanced clinical, analytics, and technical solutions for healthcare. Our team of physicians, nurses, technologists, analytics experts, and business professionals have created a suite of solutions that enable health plans, hospitals and employers to better understand, evaluate and manage the health of their populations. Using our advanced analytics platform, remote patient monitoring tool, and education and research institute, we work with healthcare organizations to improve outcomes, lower cost and restore the Joy of Medicine. The company has offices in Harrisburg, PA, Manchester, NH, and Nashville, TN. To learn more, visit geneia.com or connect with us Twitter and LinkedIn.
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