Case Studies LexisNexis® Motivation Index Produces Substantial Lift in HealthSmart’s Care Plan Engagement

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	LexisNexis® Motivation Index Produces Substantial Lift in HealthSmart’s Care Plan Engagement

LexisNexis® Motivation Index Produces Substantial Lift in HealthSmart’s Care Plan Engagement

Technology Category	Analytics & Modeling - Data Mining Analytics & Modeling - Predictive Analytics Analytics & Modeling - Real Time Analytics
Applicable Industries	Healthcare & Hospitals
Applicable Functions	Business Operation Quality Assurance
Use Cases	Disease Tracking Predictive Maintenance Remote Patient Monitoring
Services	Data Science Services System Integration
Challenge	HealthSmart, the nation’s largest independent administrator of health plans for self-funded employers, places a major emphasis on leveraging analytics to achieve transparency in order to ensure health care quality and gain control over costs. Read More
About Customer	HealthSmart is the nation’s largest independent administrator of health plans for self-funded employers. They focus on leveraging analytics to ensure health care quality and control costs. HealthSmart is dedicated to providing high-quality health care to at-risk populations using effective methods. They emphasize transparency and visibility into the aspects of individuals' lives that impact health, using advanced analytics to identify patterns and relationships in data that indicate health status. This approach enables more informed intervention decisions and helps manage underlying clinical and financial risks. Read More
Solution	HealthSmart currently uses LexisNexis® Population Health Monitor, a robust risk stratification solution leveraging MEDai Science™ technology to deliver models that proactively identify risks impacting health outcomes. To further improve their population health management program, HealthSmart ran a test trial of the Motivation Index, a predictive model combining claims, pharmacy, and medical data. This model identifies members posing the highest health risks and those most likely to engage in health improvement programs. The trial included 104 impactable members with specific health conditions and risk levels, aiming to enhance engagement in care plans. Read More Log in to view content
Contents

Technology Category

Analytics & Modeling - Data Mining

Analytics & Modeling - Predictive Analytics

Analytics & Modeling - Real Time Analytics

Applicable Industries

Healthcare & Hospitals

Applicable Functions

Business Operation

Quality Assurance

Use Cases

Disease Tracking

Predictive Maintenance

Remote Patient Monitoring

Services

Data Science Services

System Integration

Challenge

HealthSmart, the nation’s largest independent administrator of health plans for self-funded employers, places a major emphasis on leveraging analytics to achieve transparency in order to ensure health care quality and gain control over costs.

About Customer

HealthSmart is the nation’s largest independent administrator of health plans for self-funded employers. They focus on leveraging analytics to ensure health care quality and control costs. HealthSmart is dedicated to providing high-quality health care to at-risk populations using effective methods. They emphasize transparency and visibility into the aspects of individuals' lives that impact health, using advanced analytics to identify patterns and relationships in data that indicate health status. This approach enables more informed intervention decisions and helps manage underlying clinical and financial risks.

Solution

HealthSmart currently uses LexisNexis® Population Health Monitor, a robust risk stratification solution leveraging MEDai Science™ technology to deliver models that proactively identify risks impacting health outcomes. To further improve their population health management program, HealthSmart ran a test trial of the Motivation Index, a predictive model combining claims, pharmacy, and medical data. This model identifies members posing the highest health risks and those most likely to engage in health improvement programs. The trial included 104 impactable members with specific health conditions and risk levels, aiming to enhance engagement in care plans.

Impact #1	HealthSmart nurses made phone calls to individual members identified through the company’s disease management program.
Impact #2	The goal was to get as many individuals as possible to complete a health assessment and enroll in a customized care plan.
Impact #3	The Motivation Index demonstrated a significant improvement in care manager productivity, greater than 200%, in just 2 months.

Impact #1

HealthSmart nurses made phone calls to individual members identified through the company’s disease management program.

Impact #2

The goal was to get as many individuals as possible to complete a health assessment and enroll in a customized care plan.

Impact #3

The Motivation Index demonstrated a significant improvement in care manager productivity, greater than 200%, in just 2 months.

Benefit #1	The Motivation Index demonstrated a significant improvement, greater than 200%, in care manager productivity in just 2 months.

Benefit #1

The Motivation Index demonstrated a significant improvement, greater than 200%, in care manager productivity in just 2 months.

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Overview

LexisNexis® Motivation Index Produces Substantial Lift in HealthSmart’s Care Plan Engagement

Operational Impact

Quantitative Benefit