East Bay Labs Services
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Health Risk and Cost
PreVista can predict health risk for individual members, groups and populations. You can also target specific chronic conditions, e.g. diabetes, kidney disease, behavioral health, cardiac conditions, etc. If you work with employers, you can deliver forecasts tuned for their employees.
IImproved accuracy is critical for care and disease management. PreVista is the first predictive solution that delivers r2 accuracy over .5 (50%) for individual members. The results can be transmitted directly to your CM / DM system, to drive improved care and cost reduction. PreVista risk results can also be delivered to your team via the Web.
Pharma Cost Reduction
This could be your first big 'win'. Pharma costs and fraud are easier to manage than the entire span of healthcare and patient behavior. With PreVista you can quickly identify problems with PBM billing, fraud, drug abuse and the hidden network of prescribers that service prescription drug abusers and sellers. You can quickly bend the pharma cost curve.
Aquisition Risk Analysis
Are you evaluating the acquisition of a health plan, hospital or payer? PreVista can help you evaluate risk, cost and budgets -- with major improvements in accuracy.
Financial Forecasts
PreVista forecasts health care costs and financial trends with unparalled accuracy. Similar to health risk, you can predict costs for members, groups or population. You can also predict costs based on age, gender, chronic conditions, etc.
With PreVista, your financial analyses and actuarial reports will be significantly more accurate and reliable. This precision is vital for budget forecasts, proposals and health plan design.
Custom Forecasts?
Would you like to predict another clinical or financial factor? PreVista is very flexible; we can tune the system to identify any pattern or trend in your data. Data sources are flexible too -- e.g. your data warehouse, claims files, EMR data, lab results, etc.
Improve Your Software
Do your customers need more accurate prediction of costs, risk or...? PreVista results can be transmitted directly to your system and database, for delivery with your reports. Contact us for more information.
Fraud & Abuse
PreVista improves detection of fraud and abuse. With pharma claims, for example, PreVista can identify members who are abusing / selling prescription drugs, and the 'pill mill' providers they use.
PreVista can identify patterns that are linked to fraudulent billing, unusual volumes of services between providers and members, the underground network of prescribers and drug abusers / sellers, PBM charges, etc.
Readmission Risk
Financial penalties for readmission have become a key issue. Would you like to identify members with high readmission risk, more accurately? PreVista is your answer.
Forecasts in Your Reports?
Would you like to add PreVista forecasts to your data warehouse and reports? Predictive data can be transmitted directly to your data warehouse, disease management system, reports, etc.
Prediction Predictive modeling forecast health risk redmission EMR HIS HIE claims reports acquisition custom accuracy 3M™ McKesson™
Ingenix™ Optum™ Milliman™ MedAI™ ISO™ DxCG™ DRG™ CMS ACG™ Verisk™ pharmacy fraud abuse actuary payer provider STARS healthcare