PAYERS

Technology that treats members like individuals.

 

  • Improve member outcomes working through providers
  • Create stronger ties with providers and members
  • Deliver on quantifiable medical costs savings
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PROVIDERS

A turnkey package for managing at risk patient populations.

  • Find the time to love treating patients again
  • Deliver a real concierge experience to patients
  • Win in an “at risk” environment
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PARTNERS

A complete system for proactive patient engagement.

  • Differentiate their product offering through sophisticated technology
  • Engage patients when and how they want to connect
  • Validate service through defensible metrics
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A Single Platform for Physician Driven Population Management

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Data Aggregation Engine

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    Population Health Analytics

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    Patient Relationship Manager

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  • Rise Facts
  • According to the Milliman Medical Index, in 2013, healthcare costs for the typical American family of four exceeded $22,000 ($22,030). Milliman notes that other major purchases are also comparable to the annual cost of healthcare. For example, the cost of attending an in-state public college is $22,261 for the current academic year.
  • Source: Milliman Medical Index 2013
  • Rise Value: Preserving health leads to the ability to preserve wealth.
  • Rise Facts
  • In healthcare, the top 1% of a population drives more than 20% of health costs and the top 5% account for 50% of health care costs.
  • Source: AHRQ Medical Expenditure Panel Survey
  • Rise Value: Identifying these populations proactively and being able to connect with them to impact behavior when they are ready to engage are the cornerstone for any group considering taking on risk and managing medical costs.
  • We looked at a number of healthcare analytics companies and Rise Health was the only one that could demonstrate real impact at the individual patient level.
  • Lee Wrubel, MD
    Managing Partner
  • Rise Facts
  • 41 percent of the adults (2 of 5 adults, or an estimated 75 million people) reported that they had a hard time paying their bills, even with health insurance, and had been contacted by a collection agency or had to change their way of life in an effort to pay their medical bills.
  • Source: Commonwealth Fund Study 2012
  • Rise Value: Preserving health leads to the ability to preserve wealth.
  • Rise Facts
  • Disparities in health care even among insured populations varies tremendously by region. In the best performing region in the U.S., 71% of adults with diabetes receive the recommended care compared to the only 28% of adults who receive this level of care in the worst performing region.
  • Source: NEJM, June 13, 2012
  • Rise Value: Creating a more integrated, more cost effective health system or community can significantly improve quality and create consistent application of optimum standards of care regardless of location.
  • Rise Facts
  • 75% of Medicare Costs are for individuals with 5 or more chronic conditions who see, on average, over 14 physicians annually.
  • Source: CBO Budget Options, Volume 1: Health Care. December 2008
  • Rise Value: How can practices be prepared to aggregate and organize the information needed to coordinate services for their patient’s needs?
  • Rise Facts
  • A study of Medicare beneficiaries discharged from the hospital found that one in 5 was readmitted within 30 days and half of non-surgical patients were re-hospitalized without having seen an outpatient doctor for follow up.
  • Source: Commonwealth Fund 2009 Rehospitalizations Among Patients in the Medicare Fee-for-Service Program
  • Rise Value: How can you ensure that all patients receive the proper follow up treatment as soon as possible after discharge to avoid hospital readmissions?
  • Rise Facts
  • The percent of the annual medical cost per family of four paid by the employee (rather than the employer) is over 41% of costs or $9,144 which is more than their average cost of groceries for a year ($8,388).
  • Source: Milliman Medical Index 2013
  • Rise Value: Preserving health leads to the ability to preserve wealth.
  • Rise Facts
  • Retirees will need an estimated $635,000 (per couple over age 65) to cover healthcare costs in retirement. This amount is estimated to give a retired couple a 90 percent chance of having enough money to pay for their health expenses beyond what Medicare covers.
  • Source: Employee Benefit Research Institute
  • Rise Value: Preserving health leads to the ability to preserve wealth.
  • Rise Facts
  • The United States spends much more money on health care than any other country. Yet Americans die sooner and experience more illness than residents in many other countries.
  • Source: IOM U.S. Health in International Perspective: Shorter Lives, Poorer Health.
  • Rise Value: Creating a more integrated, more cost effective health system or community can significantly reduce medical costs, improve quality and create consistent application of optimum standards of care.
  • Rise Facts
  • If you have diabetes, the chance that the health care system will monitor or teach you to monitor your blood sugar level is only 25%.
  • Source: McGlynn EA, at al. The First National Report Care on Quality of Health Care in America. Rand Corp.; 2006
  • Rise Value: How do you ensure the other 75% receive the education they need to help them maintain control over their diabetes
  • I would highly recommend Rise Health to any provider organization, especially those in a shared risk model. I have no idea how you’d manage without them.
  • Terri Webster
    Clinical Care Coordinator - Village Health Partners
  • Rise Facts
  • Patients with chronic illness require substantial time with physicians, education about their illness, and coaching about treatment, diet, and medication regimens. Care teams composed of clinicians and nurses have been shown to be effective in providing care to people with chronic conditions and in improving outcomes. The use of such teams is widespread in Sweden (98%), the U.K. (98%), and the Netherlands (91%). This practice is less prevalent in the U.S. (59%).
  • Source: A survey of Primary Care Expenditures in 11 Countries. The Commonwealth Fund November 5, 2009
  • Rise Value: Creating a framework to support consistent application of team-based, approach to managing patients is a cornerstone of the Rise Health platform.
  • Rise Facts
  • The percent of doctors who are notified when their patient have visited and ER is 23% in the U.S. This is less than half the rate experienced in the Netherlands (59%), New Zealand (55%) and the UK (47%).
  • Source: Commonwealth Fund 2012
  • Rise Value: How can you ensure that all patients receive the proper follow up treatment as soon as possible following an E.R. visit to ensure continuity of care?
  • Throughout the entire implementation process, Rise Health was extremely focused on meeting the needs of our organization. Because of their dedication we will be able to make a strong impact on the health of our community.
  • David Kendall
    Data Coordinator - Integrated Health Partners

Recent News

Value-Based Care Shift Hampered by Slow-Going Analytics/Technology Adoption

New tools needed to make population health manageable At a recent Rise Health webinar, hosted by HFMA, Chief Medical Officer Mark Crockett and General Manager Connie Moser, participants were asked to measure their organizations against a number of metrics regarding analytics adoption. If the more than 100 respondents are indicative of the rest of the

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