Radius Care
Setting a New Benchmark in Population Health Management

A value-based health plan is a stepping stone to the holistic well-being of a patient. However, most health insurance providers, health systems and accountable care organizations (ACO) delivering these plans face challenges in engaging members to actively participate in and benefit from these initiatives. The population health management platforms leveraged by health systems fail to provide analytical insights that can empower them to make data-driven decisions and garner engagement for value-based care plans.

Radius Care, a health technology solution provider, bridges this gap with its groundbreaking platform, Radius Insights.

Harnessing machine learning, the platform analyzes vast patient datasets across the entire healthcare continuum and offers insights for identifying population risk patterns and personalized health plan engagement opportunities. It enables insurance providers to design better health plans, health systems to optimize cost and resources, and ACOs to improve the performance of their provider networks, ultimately heightening member engagement.

“Our platform offers a clear line of sight into the patient journey, based on near real-time data, to help clients make informed decisions,” states Justin Huddy, CEO/Founder of Radius Care.

Maximizing Member Engagement with Advanced Analytics

The lack of advanced clinical analytics means healthcare entities often struggle to make the most of their population health management platforms.

About 56 percent of healthcare leaders state that their existing population health management solution doesn’t meet their needs. The reason, as stated by 43 percent of organizations, is the inability to perform robust analytics.

Eliminating siloed, analytics that lead to limited visibility, Radius Insights brings new-age analytical capabilities to the table.

Its platform, designed for healthcare data processing and analysis at scale, allows clients to easily integrate with other databases and software systems. Using a bi-directional API, it establishes a seamless connection with various data sources, facilitating effortless data collection from insurance claims, pharmacies, diagnostic tests, and external databases. This interoperability gives clients an unobstructed view of the patient’s healthcare journey and helps implement the right strategy to improve patient outcomes. The platform also offers out-of-the-box data modeling and indexing at the cloud logic layer, ensuring insights are not just near real-time but actionable.

“Learning continuously from the datasets, the platform unravels health patterns, cost overages and care paths to identify emerging trends that can play a key role in optimizing care decisions,” states Huddy.

This capability addresses the often-lamented lack of clinician engagement plaguing health systems and ACOs. According to the latest reports, 62 percent of them cite the inability to garner clinician engagement as the top reason for replacing their population health management platform.

Learning continuously from the datasets, the platform unravels health patterns, cost overages, and care paths to identify emerging trends that can play a key role in optimizing care decisions

Radius Insights prompts clinicians to proactively engage with their patients. It sifts through vast datasets to reveal population statistics based on specific conditions and stratifies patients based on their risk profiles, enabling clinicians to engage more with high-risk patients and provide targeted treatments.

The platform also leverages pattern identification to prioritize physicians based on alignment opportunities, volume, service mix and total cost of care, uncovering patterns of over-utilization and under-utilization of services. Health systems can capture out-of-network referrals and implement preventive strategies.

Taking customization to new heights, the platform allows clients to build dashboards, drill-downs, visualizations and reports. They can customize their reports by incorporating new data. Take the example of OZEMPIC, a diabetic medication widely used to control obesity. The platform can accommodate information about its off-label use, helping clients dynamically modify reports using new and evolving data. This functionality proves invaluable as it allows them to stay aligned with emerging insights to maintain reports that are reflective of the latest developments in patient care.

The platform's dynamic user interface also stands out as a key strength, offering a user experience tailored to the varied and evolving needs of every entity within the healthcare industry.

Putting the Spotlight on Cost-Optimization

The Radius Care team is well aware of the high costs that loom large over the healthcare industry, often creating roadblocks in implementing and sustaining comprehensive wellness programs. While these initiatives are essential for promoting healthier populations and reducing the burden of chronic diseases, their successful implementation requires substantial investment.

The cost of outreach, education and preventive measures can strain healthcare budgets, impacting the feasibility and scalability of population health management strategies.

In pursuit of cost optimization, Radius Care has introduced risk modeling measures by adding a predictive model to its platform. It allows users to categorize their population into different layers and test multiple risk models to gain a comprehensive understanding of healthcare costs in various scenarios, helping them devise appropriate cost-saving measures.

The model identifies high-cost users within the population, allowing strategic resource allocation and ascertaining maximum impact for every investment. For instance, the platform can detect frequent hospital readmissions, leading to timely resource allocation while mitigating future occurrences.

A Health Companion for Patients

Apart from helping numerous clients raise the standard of patient care, Radius Care orchestrates member engagement messaging through Radius Care’s consumer-focused app, helping patients make smarter healthcare decisions.

Using ML algorithm to monitor and manage a patient’s active and historical health data, the app churns out detailed information on top-rated physicians, hospitals and medications within their radius, along with costs. This process eliminates guesswork and irrelevant online searches, leading to faster and more targeted care coupled with cost efficiency. It helps patients drop the trial-and-error approach to healthcare by directing them to quality resources in the quickest timeframe.

Radius Care wants to help patients understand the relationships between ailments and costs, to optimize performance and quality of treatment across the provider networks.

Leading a paradigm shift in analytics-driven healthcare services, Radius Care aligns clients with the urgency demanded by today's healthcare landscape. Whether identifying high-risk individuals, optimizing care pathways, or understanding trends in population health, the company shines as the guiding light for strategic decision-making, empowering the entire caregiving community to advance their value-based care initiatives.