Reduce future adverse events
Improve chronic condition management
Lower hospitalization costs
We provide tools to help you succeed in value-based care
Knowing how to allocate scarce patient care resources means pinpointing which patients require which interventions in order to improve outcomes while managing costs.
Rising care complexity
Covid-related health challenges and disruption in care have created an environment where patient care has become inconsistent and patients’ health problems have become more complex.
Provider burnout
Staffing shortages are expected to get worse, leading to attrition and impacting access to care.
Rising expectations
As national quality and cost outcomes improve the bar keeps rising for achieving shared savings.
Our predictors and analytics help value-based care organizations deliver targeted savings in high value segments
High-resolution risk cohorts
Performance analytics
Patient-level risk and health profile
Network insights
Identify target populations
Act to prevent adverse outcomes
Measure effectiveness of actions
Improve accuracy and impact
We help you target the patients and actions that will have the greatest impact on reducing costly adverse events
We help you target the patients and actions that will have the greatest impact on reducing costly adverse events
Identify target populations
Act to prevent adverse outcomes
Improve accuracy and impact
Measure effectiveness of actions
Target patients at risk in order to prevent adverse outcomes in the future
Patients are ranked based on precise risk predictions, updated weekly. You can easily save cohorts by provider group or physician or by risk to assist clinicians as they prioritize and plan for patients who will benefit from proactive outreach and interventions.
Actionable, targeted, risk-ranked cohorts for your care teams
Identify risk-driven patient cohorts with actionable care gaps, for example patients with diabetes at high risk of foot ulcer and no podiatrist visit in last 12 months.
Use the list to gain visibility to activity outside your preferred care network, for example, identify attributable patients.
Patient-level insights and Health History
With your permission, we access up to 8 years of claims for your patients directly from CMS in days, not weeks. Updates weekly.
For each patient, focus on high value opportunities with a detailed understanding of how past health history is driving future risk.
Identify opportunities to achieve improved outcomes from your network
To compare “apples to apples” we compare your patients’ outcomes to those of digital twins with the same demographics and baseline risk. See how your network performs on utilization, adverse events, and cost when it is tightly risk-matched to clinically-similar populations.
Physician recruitment
Increasing savings rate and lives under risk through targeted identification of high-opportunity primary care providers
SNF referral optimization
We can enable fine-grained optimization of SNF utilization to match the right patient to the right skilled nursing facility
Clinical programs
Advanced Illness Care Planning
Our predictors support clinicians to identify patients who could benefit from advanced care planning but may not yet be on anyone’s radar.
Patient attribution/retention
Our analyses identify “borderline attributables”—patients who with 1-2 visits to an ACO’s provider would be attributed to the organization
Chronic care management
Sophisticated targeting of high-risk patients to reduce high-cost adverse events associated with poor chronic care
Acute episode management
Especially for hospital-based ACOs, improving care transitions and in-hospital outcomes prevents readmissions and poor discharges
The value this brings is that it gives us a more targeted insight into the adverse outcomes that could affect our population. We have general risk indicators that tell us which patients require heightened attention, now this helps us dive deeper to understand the likelihood of specific adverse events, such as hospitalization for CHF.
Sheila Magoon, MD, Executive Director Buena Vida y Salud ACO
How ACOs are using Health Vision
Problem
The care management team was unable to reach out to every ACO patient who became eligible for chronic care management, resulting in preventable adverse events.
CARE MANAGEMENT Prioritizing Outreach
Solution
At this medium-sized, physician-led ACO in Florida, the care management team was looking for a way to prioritize their complex care patients who were at greatest risk of an unplanned hospitalization. So, they turned to Health Vision. They created a list of patients, updated weekly through the automated claims feed from CMS.
- Patients with a greater than 70% chance of hospitalization in next 12 months, from high to low risk AND
- Who have active diagnosis of all of COPD, Heart Failure, and Chronic Kidney Disease, AND
- Have not seen a primary care provider in last 12 months
Now, the rank-ordered list has become an essential component of planning and proactive care management, reducing the burden on care managers and improving outcomes through targeted outreach.
Problem
ACOs are trying to help patients and families select high quality SNFs that are the best fit for their needs. But aside from the 5-star rating system, there is a dearth of detailed, timely, and objective information on SNF performance.
NETWORK BUILDING High-Quality Preferred SNFs
Solution
At this large, hospital-affiliated ACO in the northeast, patients and their families with post-acute short-stay needs mainly choose SNFs by geographic proximity to their home. The ACO Pop Health team turned to Health Vision for comparative performance based on digital twinning methodology. By market, they rank-ordered SNFs by relative performance on these metrics and reset their preferred network.
- Mortality rate
- Length of Stay in the SNF
- Readmission to an acute facility within 90 days
- Total Cost, 90 days from SNF admission
This information is updated quarterly. It is now being used to inform performance improvement conversations between ACOs and their provider partners.
Contact us and learn how we can help you
Let's connect
3 Allied Drive, Suite 400
Dedham, MA 02026
Your privacy matters
We always:
- Provide transparency about the information we collect and why we collect it
- Comply with all applicable privacy rules and regulations
- Delete personal data from our servers if an individual opts out
We never:
- Sell data to third parties
- Share data with third parties besides the primary, explicitly authorized institution
- Collect data besides what is disclosed
- Keep personal data for individuals who have opted out
We speak legalese only when we have to, but we do our best to keep it human. Provided below are the full versions of our Privacy Policy and Terms of Service. If you have any questions, don’t hesitate to contact us for clarification.
George Pace
VP Business Development, Payer Markets
George has over two decades of consulting, business development and client success experience in health care, working with both providers and payers to address their most pressing challenges. The bulk of his healthcare career was with The Advisory Board, Optum, Premier and Verisk Health, with a focus on risk mitigation, value-based care and population health management. He is deeply passionate about helping healthcare organizations do their best for their patients and beneficiaries.
When he’s not working, you will find him playing guitar, riding his bike or spending time with family, friends, and his dog Luna.
Summer Kramer
VP Clinical Programs
Summer is a clinical pharmacist with over 15 years of experience in the healthcare industry, including hospitals, payors, and start-ups. Summer has focused her career on clinical program development and healthcare analytics with a constant drive to improve patient outcomes.
Residing in the pacific northwest, Summer enjoys hiking, camping, sailing, and traveling. She received her PharmD from the University of New Mexico, College of Pharmacy.
Karan (Kay) Mansukhani
VP Business Development
Kay has a decade of experience in population health analytics. Starting his career in Maryland’s state-designated HIE – CRISP, he was entrusted to set up the infrastructure and data elements needed by health system to achieve CMMIs Triple Aim. Kay is a trained epidemiologist who has a passion for preventive medicine, psychology, and anthropology. Kay enjoys spending lazy days with his wife Sonal, and son Avtar on the beach. Kay also enjoys listening to podcasts, playing the guitar and badminton. He received his joint MPH MBA from Johns Hopkins University.
Kevin Sampson
VP Finance
Kevin is a CPA with 25 years of executive and managerial experience in accounting, corporate finance, and operations in a variety of industries including medical device, biotechnology, and pharmaceuticals.
By listening and connecting with people, Kevin understands that accurate timely information is vital for everyone in the healthcare system. He received a BS in Accounting and an MBA in Finance and Entrepreneurial Studies from Babson College.
Paul Manberg
VP Clinical and Regulatory Affairs
Paul is an innovative, pragmatic leader with over 40 years’ experience in the medical device and pharmaceutical industries. He has directed clinical trial programs and regulatory activities supporting the successful market introduction of numerous impactful products. He spends his leisure time on the Outer Banks of North Carolina, body surfing and fishing. He received a PhD in pharmacology from The University of North Carolina School of Medicine.
Scott Greenwald
Chief Scientist
With over 25 years’ experience in healthcare research and innovation, Scott is an unprecedented leader in his field, focusing on improved care for everyone. He is an author of over 10 US Patents and over 100 peer-reviewed abstracts and manuscripts. While he’s not immersed in research, you’ll find him playing a mean round of mini golf. He received a PhD in Medical Engineering from the Harvard-MIT Division of Health Sciences and Technology (HST).
Josh Gray
VP Analytic Services
Josh has 30 years’ experience in healthcare, including The Advisory Board Company, athenahealth, and Boston Consulting Group. Across his career, he has used a wide range of conventional and unconventional data sources to understand and teach the keys to top performance among the nation’s most innovative health systems and physician groups. Josh enjoys music, hiking, traveling, and watching his daughter take part in synchronized skating competitions. He received an MBA from The Wharton School at the University of Pennsylvania and an undergraduate degree from Brown University. Carola Endicott
VP Customer Engagement, Marketing
Carola has 30 years’ experience in healthcare, including HMOs, hospitals, and start-ups. Her knowledge and optimistic outlook in operations and leadership, and her passion for making healthcare workers’ lives easier is what drives her devotion to customer engagement. She received an EdM from Harvard University Graduate School of Education.
David Clain
Chief Product Officer
David has vast experience with healthcare customers from his time at The Advisory Board Company and athenahealth. His expertise and passion for statistics, strategy, and innovative analytic insights is unrivaled, as is his devotion to the Duke Blue Devils. Looking for that “aha moment” of positive change is what drives him. He received a BA from Duke University. Phil Devlin
COO
Phil has 30 years of experience in executive leadership. Along his journey he’s made effective and profound change in science. Little known facts about him — he loves traveling with his family, he was in the MD Engineering program at Harvard Medical School and owns 15 patents. He received an MS from Northeastern University.
What guides our culture
We are driven to make a profound impact on US healthcare
We operate in the best interests of patients and those who serve them
We understand and protect patient privacy and health information security
We use data science to enhance, but never replace clinical expertise and judgment
We are committed to continuous learning and improvement
We bring rigor, discipline, and reliability to our work
We start with kindness, assuming good intent in others
We are committed to building a diverse, inclusive team where all employees feel welcomed and appreciated
We are committed to the well-being of our employees and their families
Phil Devlin
COO
Phil has 30 years of experience in executive leadership. Along his journey he’s made effective and profound change in science. Little known facts about him — he loves traveling with his family, he was in the MD Engineering program at Harvard Medical School and owns 15 patents. He received an MS from Northeastern University.