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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Community Advocate™
Community Advocate™

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Solutions

Description

Product Description:
AVIA Member Offer Algorex Health, in support of the AVIA network and their mission to improve the overall health of their patients, especially in underserved populations, is extending an offer to support resource prioritization and ensure the AVIA network can prioritize their resources with patients to keep those members healthy while not increasing the overall viral risk to their patients. Specifically, Algorex Health offers: COVID-19 Chart Pack (72-hr deployment & no BAA required) Includes: • Localized county level COVID heatmap & COVID Epicurve • ICU and hospital bed density • Primary care density (internal medicine, family practice, geriatrics, pediatrics) • Cross reference the above with COVID economic risk, based on markers such as median income, housing density and number o f food service workers. • Projected COVID action measures: o Time until 100% testing deployed o Expected case #s o SDoH burden o Medicaid growth (due to economic circumstance)   AVIA Member Specific Deep Dive • Identify patients in key cohorts: o Seniors living alone o Car-less households > 15min walk from high quality grocery store o Single-parent households in at-risk industries • Deploy campaign management tools to engage and offer food delivery / nutritional support services • Work to ensure proactive recovery strategies in line with the above tools and additional support as identified throughout the campaign and crisis response • $25,000 due upon deliverables and client satisfaction (applicable to both offerings) o Deliverables available in 20 business days o 50% off traditional pricing for data and services o Statement of work available with 4-hour service level o Algorex Health will accept standard Contract through AVIA Fair Market Agreement Term o Willing to begin work with execution of a BAA It is our commitment during this time, and always, to adapt to the ever changing needs of our partners and their communities. Contact us to learn more about how we can support you in this challenging landscape and turn data into valuable actions and improved outcomes. CONTACT: Laurent Brandon Lbrandon@algorexhealth.com / 401-368-6671
About N1 Health:

N1 Health is an applied AI Platform. We augment core operational systems (EHR, care management, CRM) with data outputs and intelligence generated by our platform. The N1 Health platform is a combination of pre-licensed data sets covering 97% of the households of the US, purpose-built algorithms, and a set of integrations (to insert output into your operational systems). Our clients use our platform to increase/maximize revenue (reduce member churn, align plan-product enrollment) and manage medical costs (identify rising sources of risk, introduce social determinants into the medical management process) in support of value-based care results.

Product Description:
Supporting At-Risk Members: Encouraging healthy living to facilitate wellness and simultaneously ensuring members have timely access to appropriate, quality care is essential to both your mission and success. This two-pronged approach helps manage costs, improve health/outcomes, and drive member satisfaction, loyalty, and retention. Of course, your members live in a multitude of environments and have varying levels of support and resources. Research shows ‘social determinants’ —circumstances and conditions in which people are born, grow up, play, live, and work — correlate with members’ ability to stay healthy, engage in preventive screenings, and access care. Understanding these correlations and addressing disparities is the key to helping at-risk members stay healthy and access the care they need. New Medicaid Rules: Federal rules governing Medicaid managed care now allow health plans to spend capitation dollars on value-added services not covered by the state to improve quality and/or reduce costs. While the cost of the services can’t be included in capitation rates, they can be included in the numerator of the medical loss ratio (MLR) if they’re part of a quality initiative. This policy shift emphasizes the importance of proactive outreach to members who need assistance obtaining services which support their mental, physical, and emotional well-being. Hierarchy of Needs: Wellness, healthcare, and social determinants are inextricably intertwined. Research shows 40% of health outcomes are attributable to social and economic factors, reflecting a stronger correlation than the link between health outcomes and genetics, health behavior, clinical care, or physical environment3. As an example: every year 63% of low-income households and older adults must make spending choices between food and medical care4. To engage your at-risk members in heathy behaviors and timely care, you must first help meet their most basic needs. Proactive Outreach: • Identifies members most in need of assistance • Provides a member-centric, concierge service with personal outreach via experienced, empathetic advocates • Leverages our robust database of thousands of private and public social programs • Assists members with determining program eligibility and enrollment • Confirms benefits are being received and maintains ongoing engagement Our Expertise and Experience: For over 17 years we have specialized in addressing social determinants of health (SDOH) by identifying barriers to care. With our time-tested engagement process, we assist members with eligibility identification and enrollment for dual status in Medicare/Medicaid as well as with annual recertification, Medicare Part D, and community programs.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

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Use Cases

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EHR Integrations

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Client Types

Differentiators

Differentiators vs EHR Functionality:
Low cost deliverables and lower administrative burden to health plans and health systems as Algorex Health will not only deliver the data but manage the campaigns and communication.
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Keywords

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Company Details

Founded in 2017

Founded in 2007

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