IDENTIFYING MEMBERS NEEDING INTERVENTION PRIOR TO PROJECTED INCREASE IN COST

Identifying Members Needing Intervention Prior To Projected Increase In Cost

How do you identify members at risk for future health problems? Some use projected cost in the next year or the risk categories to identify members needing intervention. The question here is: can we identify members who would benefit from intervention before their projected costs identify them as at risk? HCRM provides each member with a Chronic Impact Score to identify those members.