Case Study
Improving Health Outcomes, Reducing Costs and Increasing Insurance Reimbursements
The Business Challenge. Reduce the number of hospital readmissions for congestive heart failure (CHF) patients, thereby improving patient care, substantially decreasing costs (an average of $60,000 per CHF readmission) and increasing Centers for Medicare and Medicaid Services (CMS) reimbursement rates for a US-based 18-hospital system. The Solution. Unisys Advanced Analytics services to develop a Social Determinants of Health (SDoH) Readmission Risk model that determines 30-day readmission risk for individual CHF patients (incl. home/work environment, age, activity, income, diet, education, and access to care). Results and Benefits. • Identified patients at risk of readmission with 78% accuracy, improving upon a clinical-only readmission predictive model that was 60% accurate • Ach