Improve Health and Manage Risk

Clinical Diagnostic Data: New Intelligence for Payers

Measurement

Clinical diagnostics data can help to leverage members’ detailed clinical metrics in health risk assessments while onboarding a new employer

Management

Clinical diagnostics data can help to evaluate provider performance and enable care managers to identify patients for interventions

Reporting

Clinical diagnostics data can help to gain visibility into patients’ lab testing frequency and the downstream results in real time

Harmonization

Transforms clinical diagnostic data BEFORE it is sent to your organization

Data Intake, Refinement and Enrichment

Clinical diagnostic data must go through an extensive harmonization process before it can be used for analytical purposes. Prognos handles these complex tasks on behalf of our payer clients. Prognos has processed over 3 billion lab test records as of May 2016.

Analytics

Clinical diagnostic analytics can improve quality, HEDIS outcomes and Star ratings

Care Alerts and Care Gaps

Prognos’ Care Alerts & Care Gaps provide an early alert system for chronic disease identification and management. Actionable analytics direct interventions for decreased utilization and increased quality scores.

 

Member Health Risk Assessment

Prognos’ Member Health Risk Assessment solutions provide longitudinal member views based on lab results to better facilitate care and steer members to disease management, giving you a better understanding of specific disease profiles, early insight into exchange populations, and insight into new member diagnoses to drive risk adjustment payments.

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