Case Study

Improving Health Outcomes, Reducing Costs and Increasing Insurance Reimbursements

Improving Health Outcomes, Reducing Costs and Increasing Insurance Reimbursements

Pages 1 Pages

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

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