Get a new perspective on "at risk" members

Verisk Health understands the challenges facing care managers who must allocate limited resources to manage patients. We help care management organizations prioritize their outreach efforts by stratifying member populations, identifying the “at risk” and “emerging at risk” individuals, and tracking the end results of their program participation against cost and quality metrics.

Powerful analytics combined with focused guidance

Verisk Health’s premier Sightlines™ Medical Intelligence solution leverages the industry standard of risk and quality assessment models to help you meet resource allocation and other challenges, and to accurately identify, manage and minimize risk in your population. We not only provide your clinical staff with member, clinical and financial summaries, but will also offer support for making the most effective and efficient evidence-based clinical decisions.

Powerful, customizable software solutions

Our solutions can be used as stand-alone products by individual managers or integrated into the workflow applications of care management solutions. Verisk Health works with care management organizations to identify their greatest challenges and to apply the right solutions to meet those needs.

Verisk Health supports care management organizations with solutions for:

• Cost Containment

  Better define cost trends and bring down the rising claims costs in your population, while also streamlining and reducing the costs associated with internal resources and information technology systems.

• Improved Quality of Care

  Determine how best to enhance the quality of care for your patients on an individual basis.

• Value Demonstration

  Effectively demonstrate the value and excellence of your services to the health plans and employers who are your clients, reporting gaps in care and treatment strategy with member-level specificity.

Products and services we offer for care management organizations include:

Sightlines™ Medical Intelligence »

Our data analytics and reporting platform supports clinical outreach and pinpoints opportunities for medically-sound, financially-effective interventions – the perfect solution for helping care management organizations to contain costs and improve care.Its powerful enhanced reporting capabilities allow you to easily produce custom reports demonstrating value to each of your clients.

Sightlines™ DxCG Risk Solutions »

The industry standard of risk adjustment and prediction engines can be used inside the Sightlines Medical Intelligence platform to analyze and quantify both financial and clinical risk.