MEDecision Introduces CaseAlert(TM): Software Will Help Managed Care Organizations Identify High-Risk Patients

Methodology Gives MCOs Highly Descriptive Analyses of Risk Factors



Apr 02, 2001, 01:00 ET from MEDecision, Inc.

    WAYNE, Pa., April 2 /PRNewswire/ -- MEDecision, Inc., a market leader in
 medical management software, today announced the general availability of its
 latest product, CaseAlert.  The software system enables managed care
 organizations to analyze provider, facility and pharmacy data to identify
 high-risk and high-cost patients.  CaseAlert is fully compatible with
 MEDecision's other care management products.
     "CaseAlert represents a new level of sophistication in case and disease
 management software.  As an industry, we've moved beyond worrying about
 identifying patients with a given diagnosis.  The overwhelming challenge
 facing care managers today is the stratification of patients by risk level to
 allow the assignment of the appropriate intensity of case and disease
 management resources," said David St. Clair, chairman and chief executive
 officer of MEDecision.
     "CaseAlert's predictive methodology identifies those patients who are
 currently or are likely to be at risk.  The product then goes one step
 further, automatically stratifying members to enable optimal assignment of
 care management resources.  CaseAlert provides highly descriptive patient
 profiles to support efficient and productive case and disease management
 screening," St. Clair added.
     According to Dianne Cosgrove, clinical systems manager, Orlando Regional
 Healthcare, "The software is very actionable.  It enables us to quickly
 identify high-risk patients and get them into the proper disease management
 programs.  CaseAlert found members for our disease management programs that
 our traditional methods missed.  In fact, 85% of the members in our
 hypertension disease management program were identified using the CaseAlert
 methodology."
     CaseAlert processes information from Oracle data repositories.  It is
 compatible with current MEDecision products and other claims and care
 management software systems.  CaseAlert can help MCOs manage costs and
 outcomes by identifying at-risk patients and helping to determine the level of
 intervention required for those patients.  It uses clinically sophisticated
 algorithms to segment patient populations and produce actionable information
 for MCO case managers.
     All of MEDecision's products, including CaseAlert, can be tailored to meet
 the individual needs of health management organizations and to link with
 existing medical management software.  The products also are designed to
 protect the confidentiality of patient records in compliance with evolving
 federal standards, such as the Health Insurance Portability and Accountability
 Act (HIPAA).
 
     About Orlando Regional Healthcare
     Orlando Regional Healthcare, a 1,870-bed private, not-for-profit
 organization was established in 1918.  The hospital system serves more than
 540,000 Central Florida residents and 4,500 international patients annually.
 Physicians are independent contractors and are not employees of Orlando
 Regional Healthcare or its subsidiaries.  As a community-owned organization,
 Orlando Regional reinvests its profits into many one-of-a-kind, specialized
 services like Central Florida's only Level I trauma center and statutory
 teaching hospital.  U.S. News & World Report ranked Orlando Regional
 Healthcare as one of the nations' best hospitals and Fortune magazine
 recognized Orlando Regional as one of the Top 100 Companies to Work for in
 America.
     Clinical Systems is a multidisciplinary team responsible for providing
 comparative data analysis for the corporation, and specifically for
 Healthchoice.  Since its formation in 1984, Healthchoice has been one of the
 leading health plans in Central Florida.  Owned by Orlando Regional
 Healthcare, their goal is to provide members with quality care while
 maintaining affordability.  The staff and health care providers work together
 to develop and provide the latest in preventive care medicine and disease
 management programs, helping to safeguard and improve the community's health.
 Healthchoice is one of the only community-based and locally-owned managed care
 plans in Florida.  More information is available at www.orlandoregional.com or
 www.healthchoiceorlando.org.
 
     About MEDecision
     MEDecision, a privately owned company founded in 1988, is a market leader
 in clinical decision support software solutions for medical management.  The
 firm specializes in systems that link patients, providers and payers in an
 information network to improve overall health outcomes and reduce costs.
 MEDecision customers include multiple Blue Cross and Blue Shield
 organizations, complex health management organizations, integrated delivery
 networks, Medicaid managed care organizations, major insurance carriers and
 specialty managed care firms.
     MEDecision's software products are being used to improve the quality of
 healthcare and reduce both administrative and unnecessary clinical costs for
 approximately 30 million people - one in every seven Americans with health
 insurance.  MEDecision's award-winning software solutions include integrated
 case, disease and utilization management, high-risk patient identification,
 Internet authorizations, provider profiling and quality analysis.
     For more information about CaseAlert and MEDecision's other care
 management products, please call 610-254-0202, email Marketing@MEDecision.com
 or visit www.MEDecision.com.
 
     MEDecision is a trademark of MEDecision, Inc.  Other MEDecision product
 names and logo are also trademarks or registered trademarks of MEDecision,
 Inc.  Other product and brand names are trademarks of their respective owners.
 
 

SOURCE MEDecision, Inc.
    WAYNE, Pa., April 2 /PRNewswire/ -- MEDecision, Inc., a market leader in
 medical management software, today announced the general availability of its
 latest product, CaseAlert.  The software system enables managed care
 organizations to analyze provider, facility and pharmacy data to identify
 high-risk and high-cost patients.  CaseAlert is fully compatible with
 MEDecision's other care management products.
     "CaseAlert represents a new level of sophistication in case and disease
 management software.  As an industry, we've moved beyond worrying about
 identifying patients with a given diagnosis.  The overwhelming challenge
 facing care managers today is the stratification of patients by risk level to
 allow the assignment of the appropriate intensity of case and disease
 management resources," said David St. Clair, chairman and chief executive
 officer of MEDecision.
     "CaseAlert's predictive methodology identifies those patients who are
 currently or are likely to be at risk.  The product then goes one step
 further, automatically stratifying members to enable optimal assignment of
 care management resources.  CaseAlert provides highly descriptive patient
 profiles to support efficient and productive case and disease management
 screening," St. Clair added.
     According to Dianne Cosgrove, clinical systems manager, Orlando Regional
 Healthcare, "The software is very actionable.  It enables us to quickly
 identify high-risk patients and get them into the proper disease management
 programs.  CaseAlert found members for our disease management programs that
 our traditional methods missed.  In fact, 85% of the members in our
 hypertension disease management program were identified using the CaseAlert
 methodology."
     CaseAlert processes information from Oracle data repositories.  It is
 compatible with current MEDecision products and other claims and care
 management software systems.  CaseAlert can help MCOs manage costs and
 outcomes by identifying at-risk patients and helping to determine the level of
 intervention required for those patients.  It uses clinically sophisticated
 algorithms to segment patient populations and produce actionable information
 for MCO case managers.
     All of MEDecision's products, including CaseAlert, can be tailored to meet
 the individual needs of health management organizations and to link with
 existing medical management software.  The products also are designed to
 protect the confidentiality of patient records in compliance with evolving
 federal standards, such as the Health Insurance Portability and Accountability
 Act (HIPAA).
 
     About Orlando Regional Healthcare
     Orlando Regional Healthcare, a 1,870-bed private, not-for-profit
 organization was established in 1918.  The hospital system serves more than
 540,000 Central Florida residents and 4,500 international patients annually.
 Physicians are independent contractors and are not employees of Orlando
 Regional Healthcare or its subsidiaries.  As a community-owned organization,
 Orlando Regional reinvests its profits into many one-of-a-kind, specialized
 services like Central Florida's only Level I trauma center and statutory
 teaching hospital.  U.S. News & World Report ranked Orlando Regional
 Healthcare as one of the nations' best hospitals and Fortune magazine
 recognized Orlando Regional as one of the Top 100 Companies to Work for in
 America.
     Clinical Systems is a multidisciplinary team responsible for providing
 comparative data analysis for the corporation, and specifically for
 Healthchoice.  Since its formation in 1984, Healthchoice has been one of the
 leading health plans in Central Florida.  Owned by Orlando Regional
 Healthcare, their goal is to provide members with quality care while
 maintaining affordability.  The staff and health care providers work together
 to develop and provide the latest in preventive care medicine and disease
 management programs, helping to safeguard and improve the community's health.
 Healthchoice is one of the only community-based and locally-owned managed care
 plans in Florida.  More information is available at www.orlandoregional.com or
 www.healthchoiceorlando.org.
 
     About MEDecision
     MEDecision, a privately owned company founded in 1988, is a market leader
 in clinical decision support software solutions for medical management.  The
 firm specializes in systems that link patients, providers and payers in an
 information network to improve overall health outcomes and reduce costs.
 MEDecision customers include multiple Blue Cross and Blue Shield
 organizations, complex health management organizations, integrated delivery
 networks, Medicaid managed care organizations, major insurance carriers and
 specialty managed care firms.
     MEDecision's software products are being used to improve the quality of
 healthcare and reduce both administrative and unnecessary clinical costs for
 approximately 30 million people - one in every seven Americans with health
 insurance.  MEDecision's award-winning software solutions include integrated
 case, disease and utilization management, high-risk patient identification,
 Internet authorizations, provider profiling and quality analysis.
     For more information about CaseAlert and MEDecision's other care
 management products, please call 610-254-0202, email Marketing@MEDecision.com
 or visit www.MEDecision.com.
 
     MEDecision is a trademark of MEDecision, Inc.  Other MEDecision product
 names and logo are also trademarks or registered trademarks of MEDecision,
 Inc.  Other product and brand names are trademarks of their respective owners.
 
 SOURCE  MEDecision, Inc.