CareLytix Turns Data into Actionable Insights

Prescriptive Analytics

Prescriptive analytics is the ultimate goal of every data warehouse owner, but it is currently beyond the reach of the majority of healthcare organizations. Instead of just describing what has happened or predicting what might happen, prescriptive analytics delivers actionable suggestions about how to improve care quality, reduce care cost, or avoid a problem all together.

CareLytix provide prescriptive analytics for providers, payers and caregivers to reduce healthcare cost and improve care outcome leveraging big data and AI technology. CareLytix provides big data driven solution for value-based care in

  • Healthcare fraud, waste and abuse prevention (FWA)
  • Cost of care analytics
  • Precision medicine
  • Care management
  • Case management
  • Population health
  • Healthcare quality measurement and reporting
  • Claims analysis
  • Clinical risk intervention

Descriptive analytics:
Descriptive analytics is when we data mine our historical performance for insights. Often, we are just looking to get context or tell a story with the data. This is most certainly at the heart of what most marketers do on a daily basis, particularly in their web analytics. We look at how we are doing, and we try to understand what is happening and how that is affecting everything else.

Predictive analytics:
Predictive analytics takes that one step further. It's less about the questions, and more about the suggestions. It involves looking at your historical data, and coming up with predictions on what to expect next. This is most readily used in our industry when we try to predict how next month will perform based on this month's performance (month over month predictions or MoM). While it seems like an obvious next step for analysis, it's amazing to me just how many marketers stop at descriptive, and fail to push into this arena of predictive analytics. Often, it's because this involves predictive modeling which can, again, be very intimidating.

Gap in Care

The term Gap in Care is defined as difference between recommendations based on evidence-based clinical guidelines or health care best practice, and the care that is actual provided. We can also say that, those patients who are not compliant with evidence-based clinical guidelines or health care best practice, either due to patient’s own reason or provider’s reason, have Gap in Care.

Identify Gaps in Care is Not Easy

Based on researches, only 5% of diabetes patient compliant with evidence-based clinical guidelines or health care best practice. The compliance percentage of patient with coronary artery disease is around 22%. The compliance percentage of patient with high blood pressure is around 32%.

For a lot health care organization, the difficult tasks in improving cost effectiveness, care quality and provider performance are to identify Gaps in Care.

CareLytix’s real-time data analytics solution is designed to integrate and consume various data set and process the data to generate actionable in sight. Our solution provide aggregation report as well as actionable insight at individual patient and provider level. CareLytix’s clinical and quality solution platform bring the power of data and analytics to improve clinical quality and outcome with the right information, at the right time, in the right setting, to the right person, and in the right format. It helps healthcare providers and other organizations with quality measurement, reporting, improvement, and research.

Close the Gap in Care

CareLytix enable your clinical and quality management teams to proactively engage providers and members to identify and take action on gaps in care and preventive measures.

  • Identify the number of members that have gap of care and eligible for quality measures
  • Aggregate gap in care and quality measures by member, physician, provider, and group
  • Use dash board to show total number of care gap and eligible measures, indicating measure compliance percentage
  • List the member and attributed physician, provider individual patient and provider level detail and action needed on gaps in care to help close the gap

Patient Centered and Personalized Care

Making sure that people are involved in and central to their care is now recognized as a key component of developing high quality healthcare. There is much work to be done to help health to be more person-centered and this has become more of a priority over the past decade. This is because putting people at the center of their care will:

  • Help people get the care they need when they need it
  • Help people be more active in looking after themselves
  • Reduce some of the pressure on providers

Engaging members/patients in the management of their care with the goals of increasing satisfaction, reducing costs and improving outcomes is the key of Patient Centered and Personalized Care.

CareLytix facilitate Patient Centered and Personalized Care by providing an overall view of what is happening at the individual member/patient level.

The CareLytix’s Member Metrics solution provides an overall view of an individual member/patient:

  • List of members past and current clinical condition
  • Member/patients claim details
  • Member/patients cost stratification
  • Member/patients cost metrics
  • Member/patients gaps in care
  • Costs by provider, type/specialty, diagnoses, procedure, POS and hospital revenue code
  • List of top prescribers with top drug classes by cost, generic vs. brand and top drugs by cost

Help Providers take on Increasing Financial Risks

With healthcare resources already spread thin and with the mandate requirement of payers value-based care payment model. Healthcare providers, be it hospital, physician group, or clinicians, need significant help to turn population health challenges into opportunities.

To help Healthcare Providers Moving to Pay-for-Value, CareLytix population management system enables you to:

  • Use analytics to segment and manage population health data
  • Turn real-time data into actionable insight at the point of care
  • Identify high-risk patients so they could receive appropriate level of care
  • Identify care gaps, create proactive intervention to improve outcomes

See how our customer say about CareLytix:

I just wanted to say Thanks to you guys, you have really been cranking out the work lately…and also in general over the last few years. I really appreciate all of your professionalism and attention to detail – Top Notch. You guys really are an outstanding team, just wanted to say THANK YOU!
- by Ryan Gilligan, CTO of B4Health LLC