In the dynamic world of Value-Based Care (VBC), addressing the needs of high-risk and high-cost patient populations stands as one of our most significant challenges. We aim to reduce healthcare costs while simultaneously elevating the quality of care. Our dedicated focus on these populations is not just strategic but also moral, as we strive to balance cost-efficiency with the delivery of compassionate high-quality care.
Many high-risk patient cases are intertwined with complexities from grappling with multiple chronic conditions and frequent healthcare needs to various social determinants that might make access to care, medication, nutrition, and other resources nearly impossible. This not only places a substantial financial strain on healthcare systems but also presents significant barriers to achieving optimal patient outcomes. The truth is clinicians can make all the right recommendations and still watch patient cases get 'stuck' due to external factors beyond their control.
This draws out a pressing question in the realm of Value-Based Care:
How do we address the needs of our high-risk, high-cost patients, often on Medicare and Medicaid, while also combating external factors to boost our cost and quality metrics?
The term “Remote Care Intervention Solutions” or RCIS refers to healthcare services and interventions delivered to patients outside of traditional clinical settings, typically through digital and telecommunication technologies. With the ability to collect and analyze vast amounts of health data in real-time remote care intervention solutions can provide invaluable insights into patient health trends and outcomes, ensuring individual patients have customized care plans. By utilizing technologies like remote patient monitoring (RPM), telehealth platforms, call/SMS and even surveys patients are encouraged to take a more active role in their care. This approach not only makes care more accessible but also bridges issues of social determinants, making it easier to close care gaps. - In other words, no more getting stuck!
^ Caret Health is at the forefront of implementing these solutions. By aggregating clinical data with patient engagement tools, Caret's unique predictive analytic and AI features can create tailored Intervention Programs for even the most challenging patient populations.
The platform's capabilities and insights aim to enhance processes and decision-making at every organizational level, ensuring both clinical and corporate teams have the information needed to excel. Features include AI driven custom care pathways that prioritize individual needs, real-time interventions that help prevent ER visits and hospitalizations, and predictive intelligence models designed to inform difficult decisions such as resource allocation and budgeting. It shines further in its ability to alleviate administrative burden, which means more time can be dedicated to things like quality patient care. Simply put the platform is revolutionizing the way healthcare organizations operate making achieving Value Based Care goals much more attainable.
Whether the goal is quality enhancement, cost reduction, or BOTH, Caret Health has formulated a solution designed to significantly improve the efficiency of care gap closures - stepping far beyond manual methods (and yes that just might mean we can say goodbye to those pesky spreadsheets that never seem to work the way we want them to).
Clients of Caret Health have witnessed remarkable improvements:
"Caret Health's impact was profound, achieving a 50% reduction in hospitalizations and a 40% decrease in ER visits at Intermountain Healthcare. Additionally, we saw significant improvements in managing quality measures for blood pressure and A1C readings."
- Dr. Steven Evans - Former physician executive at Intermountain Healthcare and current Chief Medical Officer at a major West Coast health plan.
Caret Health's approach is not just about reducing costs; it's a commitment to transforming healthcare delivery for the better. For a limited time, Caret Health is offering a new pilot, giving new customers a chance to challenge the company with their highest-risk and most costly patients. While the pilot is not free, its easy implementation and incentive-based pricing model, driven on outcomes, mitigates risk with potential for substantial ROI as noted with Intermountain.
It’s a great opportunity to start addressing your cost and quality issues while seeing the program in action.
