Predict | Total Cost and Utilization

Predict high utilization/costs and enhance chronic care.

The costliest 5% of patients incur roughly 50% of all healthcare spending, and the cost of care for the most expensive 1% exceeds 20% of total spending. Patients with chronic conditions are consistently among the most expensive. On average, people with five or more chronic conditions—an astonishing 12% of U.S. adults—incur 14 times the cost of patients without chronic conditions.

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
Health Risk Assessments

Risk that total costs in the next 12 months will be in top 5%

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

234425457

Female

62

97

Impact on risk

Contributing factor

Value

+31%

# of Unique Medications

12

+21%

Increase in Charlson Comorbidity Index

5 to 8

+14%

Adherence to Loop Diuretics

60%

+8%

Self-rated Health (1-5)

2

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.

Enroll

Enroll patients in chronic care management programs

Improve

Improve care continuity and patient monitoring

Provide

Provide support for patient education and self-management

EXPLORE MORE USE CASES

Acute Ischemic Stroke 

Payers

Providers

Predict stroke risk and address modifiable factors.

Avoidable Emergency Department Utilization

Payers

Providers

Reduce avoidable ED utilization and promote care continuity.

Propensity to Pay

Payers

Providers

Predict propensity to pay and optimize collection.

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

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