Continuous Member Prioritization
Interpreta’s Continuous Member Prioritization module provides automated insights for providers and healthcare organizations for four essential questions about their population. These insights help manage care in a way that personalizes the needs of each member.
- Which individuals need care?
- What kind of care do the individuals need?
- When and in what order should they be contacted?
- Who among available resources is the best to deliver that care?
Interpreta’s analytics engine scans every individual member to determine, based on clinical acuity and severity, who is most-in-need, next most-in-need, and so on. The Continuous Member Prioritization module re-computes this information daily and generates a single score for each member consisting of four parts:
- Disease burden
- Preventive care needs
- Medication risk
- Hospitalization risk
Generated scores are grouped into tiers which prioritize individuals with a high disease burden and acute clinical needs.
Providers, provider groups, and payers can use these scores to orchestrate member care more efficiently.