Underlying and informing many of our services is CareEngine®, a patented technology platform that continuously collects and analyzes complex data that could otherwise be too overwhelming to be helpful to you and your population. The platform is managed by a team of board-certified physicians, pharmacists and registered nurses based on established clinical guidelines. It assesses each member's available health information across more than 1,200 health monitored events and based on more than 9,000 clinical rules. Everything from medical claims and data findings to pharmacy and lab data is pulled in and matched with accepted clinical standards to create useful insights for the people we serve.
With more than 200 clinical quality measures, ActiveHealth helps healthcare organizations and providers monitor quality of patient care and support value-based models like accountable care organizations, patient-centered medical homes and clinically integrated networks.
Care Considerations are messages about health opportunities that help inform members and their health care providers about potential clinical risks, gaps in care and opportunities for health improvement. These health alerts are generated by data from CareEngine and are developed by our clinical team using evidence-based guidelines.
Risk Identification & Stratification
The ActiveHealth Clinical Stratification and Identification Tool (CSID) is another reporting tool generated by our technology platform to help identify individuals for case management, condition management, lifestyle/wellness coaching and other health management programs. The tool validates the presence of a condition or risk of condition by assessing available clinical and claims data, electronic medical records, lab and test results and self-reported data such as health risk assessment responses.