Predict | Rising Risk and Cost Bloomers

Identify rising risk individuals and improve outcomes.

The costliest 10% of patients account for more than two-thirds of healthcare spending. While some of these high-cost patients have consecutively high-cost years, the majority experienced a ‘cost bloom’—a dramatic year-over-year cost increase that catapulted them into the upper decile of spending. These previously low-cost patients account for roughly 68% of all high-cost patients annually.

BUILT FOR HEALTHCARE

Ingest, normalize, and blend data
from dozens of health data sources.

Electronic Health Records
Unstructured Clinical Notes
e-Prescribing Data
Vital Signs
Remote Monitoring Data
Medical Claims
Rx Claims
ADT Records
Lab Test Results
Social Needs Assessments
Social Determinants of Health
Operations & Services

Risk of costs rising at least 50% in the next 12 months

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

441769021

Male

48

97

Impact on risk

Contributing factor

Value

+21%

# of Distinct Providers (12M)

10

+16%

Percentage Abnormal Lab Results

45%

+11%

Resting Heart Rate

90

+8%

Total # of Lab Tests (3M)

20

AI INFORMS ACTION

Pinpoint high-risk individuals and surface actionable risk factors.

ClosedLoop generates explainable predictions using thousands of auto-generated, clinically relevant contributing factors.

Encourage

Encourage strong continuity of care

Promote

Promote early identification of chronic condition development

Increase

Increase screening and assessment frequency for at-risk patients

EXPLORE MORE USE CASES

Propensity to Pay

Payers

Providers

Predict propensity to pay and optimize collection.

Avoidable Emergency Department Utilization

Payers

Providers

Reduce avoidable ED utilization and promote care continuity.

Commercial Performance

Pharma

Create targeted strategies and track results.

Make AI/ML a core element of your care strategy.

Get in touch today to see the ClosedLoop platform in action.