A critical success factor in improving the health of our patients is to identify those who need care the most. This is done by integrating claims data from payers with Epic. This approach allows us to risk-stratify populations and focus on high-needs patients, rising-risk patients, and patients who need basic wellness and prevention care (e.g., annual visits), or preventive care measures such as health screenings and flu shots. In addition, any care provided by Essentia is captured nightly to inform outreach through our care coordination platform, Healthy Planet.
Read the full article in Health Tech Magazine