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Health Metrics | Overview
As part of its integrated suite of health solutions, Carewise Health provides health metrics that permit plan sponsors to measure the health status of their covered population, design and implement programs to improve health, monitor health outcomes, and quantify financial impact. Carewise Health Metrics give plan sponsors sophisticated analytical capabilities without being locked into a specific health plan or provider network. By improving health, self-insured groups can improve the quality of life for individuals while lowering health costs. Carewise Health Metrics are designed around four critical principles:
- Measure health risks and health improvement across the entire covered population, independent of health plan, provider network, or specific health programs;
- Support person-centric interventions through metrics that assess the overall health and well-being of each individual, rather than merely flagging the presence or absence of a health condition;
- Drive program integrity by establishing metrics at every step in the chain of causality. This includes identification of participants who could benefit from a health intervention to final evidence of personal health improvement, changes in utilization patterns, and net savings; and
- Measure the financial impact of all health programs holistically as actuarially validated net savings that can be tied back to an organization’s general ledger, and then calculate the contribution of each health program to total savings.
Carewise Health Metrics are marketed by SHPS, Inc., a leading provider of integrated health solutions, and have been independently verified by major health actuarial firms. In 2007, a SHPS client won the prestigious C. Everett Koop National Health Award for its population health improvement program. The program utilized Carewise Health Metrics, which were independently verified by the Rand Corporation, to document total health savings.
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