Predictive analytics tackle industrywide problem
Avoidable emergency room (ER) visits are a massive financial burden for the health care system in the United States. For years, health plans have employed costly programs across entire populations in an attempt to change member behavior and control soaring costs. Yet the problem persists. A Colorado health plan employed Softheon’s proprietary analytics platform, however, and found an efficient, expedient way to identify, engage and ultimately change the behavior of its members most likely to make avoidable ER visits. The results are compelling.