Care reform demands that health plans control costs while improving patient care, which makes effective plan-to-patient communication critical. But how can plans know for sure they're targeting communication campaigns about treatment offers to the right customers? What if the intended message goes to someone who is disinterested, dissatisfied, or simply disregards materials presented in the delivered format?
Industry experts at SAS focused the power of analytics on the problem and created SAS Health and Condition Management. With this new solution, SAS, the leader in business analytics software and services, helps health plans optimise patient care while reducing expenses.
Hank Vermeulen, a long-time user of SAS analytics, sees the value of SAS Health and Condition Management. "Our case management program focuses on members who are at risk, have recently been discharged from the hospital, or have complex needs," said Vermeulen, Vice-President of Informatics at Independence Blue Cross.
"We're developing triggers to ensure that we're communicating with the right member in an appropriate manner. Using SAS data mining applications, we segment, and then target our patient population - from those who are in good health, to those who are in advanced stages of illness - to make sure they receive the best support and guidance for their needs."
SAS Health and Condition Management creates one view of a patient's existing conditions, medications and behaviours to understand how coexisting conditions and treatments affect one another. Enhanced patient segmentation and predictive modelling helps plans anticipate future illnesses like congestive heart failure or diabetes, the likelihood of continuing to take medication, and patient hospitalisation. Engagement management capabilities ensure that plans can quickly absorb results, learn from existing communication campaigns, and continually increase message effectiveness.
The announcement was made at SAS Global Forum, the world's largest gathering of SAS users, attended by more than 3 500 business and IT users of SAS software and solutions.
Share