Predict | Rising Risk and Cost Bloomers

Identify rising risk individuals and improve outcomes.

The costliest 10% of patients account for more than two-thirds of healthcare spending. While some of these high-cost patients have consecutively high-cost years, the majority experienced a ‘cost bloom’—a dramatic year-over-year cost increase that catapulted them into the upper decile of spending. These previously low-cost patients account for roughly 68% of all high-cost patients annually.

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 costs rising at least 50% in the next 12 months

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

441769021

Male

48

97

Impact on risk

Contributing factor

Value

+21%

# of Distinct Providers (12M)

10

+16%

Percentage Abnormal Lab Results

45%

+11%

Resting Heart Rate

90

+8%

Total # of Lab Tests (3M)

20

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.

Encourage

Encourage strong continuity of care

Promote

Promote early identification of chronic condition development

Increase

Increase screening and assessment frequency for at-risk patients

EXPLORE MORE USE CASES

Adverse Glycemic Events & Continuous Glucose Monitoring

Providers

Improve glycemic control and avoid adverse outcomes.

Appointment No-Shows

Payers

Providers

Predict appointment no-shows and reduce costs.

Length of Stay

Providers

Reduce length of stay and improve outcomes.

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

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