Predict | Readmissions

Predict readmission risk and improve transition planning.

Annually, adults experience 4.2 million hospital readmissions, and among Medicare beneficiaries, one in six are readmitted within 30 days. They are enormously expensive, costing CMS $26 billion, commercial payers $8.1 billion, and Medicaid beneficiaries $7.6 billion each year. CMS also penalizes hospitals for excessive Medicare readmissions—and penalized 2,583 hospitals $564 million in 2019.

BUILT FOR HEALTHCARE

Ingest, normalize, and blend data
from dozens of health data sources.

Electronic Health Records
Unstructured Clinical Notes
e-Prescribing Data
Vital Signs
Remote Monitoring Data
Medical Claims
Rx Claims
ADT Records
Lab Test Results
Social Needs Assessments
Social Determinants of Health
Operations & Services

Risk of being readmitted to the hospital in the next 30 days

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

991234087

Male

71

98

Impact on risk

Contributing factor

Value

+26%

Admissions for CHF (1M)

1

+18%

Decrease in Medication Adherence (12M)

75% to 50%

+14%

# of Changes in Medication Regimen at Discharge

3

+10%

Levels of Caregiver Support

Low

AI INFORMS ACTION

Pinpoint high-risk individuals and surface actionable risk factors.

​​WellSect generates explainable predictions using thousands of auto-generated, clinically relevant contributing factors.

Enhance

Enhance pre-discharge evaluation of care needs and provide appropriate supports

Promote

Promote continuity of care and ensure outpatient follow-up with PCP and specialists

Educate

Educate patients on chronic disease self-management and improve medication adherence

EXPLORE MORE USE CASES

Total Cost and Utilization

Payers

Providers

Predict high utilization/costs and enhance chronic care.

Chronic Obstructive Pulmonary Disease

Digital Health

Payers

Providers

Identify COPD and promote early diagnosis.

Member & Patient Churn

Payers

Providers

Reduce member and patient churn and improve engagement.

Make AI/ML a core element of your care strategy.

Get in touch today to see the WellSect platform in action.