Integrated Identification & Stratification (ID & Strat)
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Population Risk Intelligence for Smarter Care Management
Managing a member population without the right data is like trying to navigate without a map. Care teams are left reacting instead of planning, and the members who need the most support can easily slip through the cracks. ZeOmega’s Integrated Identification & Stratification (ID & Strat) enables healthcare organizations to proactively identify, risk-score, and stratify members across multiple clinical domains, improving care coordination and prioritization with a clear, risk-stratified view of the member population.
By leveraging clinical data, claims data, pharmacy data, and utilization patterns, ID & Strat generates an Integrated Risk Score that provides a holistic view of each member’s health risk. Care managers are then able to prioritize high-risk members, enroll them in appropriate care management programs, and deliver targeted interventions that improve clinical outcomes while optimizing healthcare costs.
The result is more targeted interventions, better clinical outcomes, and smarter use of care management resources.
Know Who Needs Care Before It Becomes a Crisis
ID & Strat automatically into high, moderate, or low risk categories based on multiple clinical measures, high-risk medication use, and durable medical equipment (DME) utilization. This risk-stratified view empowers care managers to focus their energy where it matters most, supporting proactive population health management.
The solution supports care managers, population health and clinical operations, health plans and MCOs, and clinical leadership and quality teams with:
- Multi-Domain Risk Identification and Stratification: Identifies and stratifies members across complex conditions in a clear, risk-stratified view. Members are sorted into high, moderate, and low risk tiers to support clear, consistent prioritization of care management efforts.
- Integrated Risk Scoring: Aggregates risk scores from multiple clinical measures, along with high-risk medication and DME utilization indicators, to generate a comprehensive Integrated Risk Score.
- Support for Targeted Interventions: Supports improved clinical outcomes and reduces avoidable healthcare utilization.
- Improved Oversight: Supports care management with risk-status change tracking, age-specific program hierarchy, risk alerts, and more.
- Enhanced Efficiency: Automatically creates care management episodes, recommends appropriate disease programs, and populated assessments to support the care management workflow.
- Effective Cost Management: Supports cost reduction with earlier intervention, better chronic disease management, and medication risk monitoring.
Download the Integrated Identification & Stratification (ID & Strat) product overview to explore features and use cases for strengthening your care management strategy, or contact us to request a demo.
Additional Resources
Solution: Care Management
Solution Trends: Jiva for Care Management
