Reduce Readmissions For Your Medicare Advantage Members

Personalized Engagement to Improve Star Ratings and CAHPS Scores

Care management teams play a crucial role in value-based care organizations by ensuring that patients receive the right care at the right time. This not only improves health outcomes but also reduces costs for health plans. Utilizing innovative technology such as Datos Health can streamline efficiencies for care management teams by automating tasks and deploying personalized care plans to members, thereby boosting engagement, reducing hospital readmissions, lowering costs and improving CMS (Centers for Medicaid and Medicare Services) Star Ratings and CAHPS scores.

Transforming Care Management with Datos Health

Datos Health provides a fully adaptable remote care platform that supports any clinical condition, any device, and any automated remote care workflow. Here’s how Datos Health can help your care management team:

  • Easily Develop and Adjust Individualized Care Plans With Datos Health, you can quickly design and implement personalized care pathways without needing a software developer. This ensures that each patient receives care tailored to their specific needs.
  • Automate Reminders for Appointments, Vaccinations, and Screenings Keep your patients on track with automated reminders, reducing the risk of missed appointments and enhancing overall health management.
  • Proactive Patient Engagement Engage patients with relevant educational content and personalized interactions that keep them informed and involved in their care journey.
  • Real-Time Communication for Timely Interventions Maintain robust two-way communication between care managers, patients, and healthcare providers. Real-time data collection and alerts ensure that any changes in a patient’s condition are addressed promptly.
  • Optimized Resource Allocation Datos Health can help you easily identify high-risk patients who may require more intensive care management. This allows for better allocation of resources and more focused care.
  • Reduce Unnecessary Utilization By monitoring and managing patient care efficiently, care managers can significantly reduce unnecessary hospital admissions, emergency room visits, and other costly interventions.

ROI and Workflow Optimization

  • Resource Allocation: Optimize the allocation of resources by identifying and prioritizing high-risk patients.
  • Unnecessary Utilization Reduction: Lower the number of unnecessary hospital admissions and emergency room visits through effective patient monitoring and management.
  • Workflow Optimization: Free up care managers’ time by automating follow-ups and reminders, allowing them to focus on more complex tasks.

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A Typical Implementation

With our platform, care management teams can support many patient populations with ai-driven care plans that incorporate automation for efficient chronic care management and preventive care. We recommend that health plans start with a Congestive Heart Failure (CHF) program along with Chronic Obstructive Pulmonary Disease (COPD) management and add a general wellness program to proactively engage many members within their health plan with screening, vaccination and appointment reminders. Some of the care programs our platform has supported for Medicare Advantage plans include:

  • Heart Failure: Incorporate symptom surveys and questionnaires along with vitals monitoring and reminders to take medication.
  • Diabetes Management: Continuous blood sugar monitoring, medication adherence, lifestyle modifications, and regular check-ups.
  • Pre-and Post-Discharge: Provide reminders for medication adherence, vitals monitoring, and condition-specific patient education.
  • Hypertension Management: Include blood pressure monitoring, medication adherence, diet and exercise recommendations, and stress management.
  • COPD Management: Incorporate medication management, inhaler usage, avoidance of triggers, and regular pulmonary function tests.

Reduce Hospital Readmissions with Datos Health

Maintaining continuity of care is crucial for achieving improved outcomes. The Datos Health platform provides real-time access to care plans, vitals, and data trends, allowing for timely interventions that reduce readmissions. Design early detection warnings incorporating vitals, surveys, and medication adherence data easily and quickly.

Key Benefits for Health Plans:

  • Empower Self-Management: Equip your members with tools to manage their care, reducing readmissions.
  • Early Intervention: Send notifications to clinicians based on patient-reported outcome measures for timely actions.
  • Efficient Data Use: Leverage accurate data to save time during in-person and virtual visits.
  • Streamline Care Management: Automate self-care tasks to reduce administrative burdens, allowing clinicians to focus on high-level care.

Join the many health plans that have already experienced the benefits of our adaptable and comprehensive remote care platform. Partner with Datos Health today and take the next step in revolutionizing healthcare delivery for your members.

Optimized User Experience, Backed by Automation

Developed with the needs of both patients and providers in mind, Datos Health pairs powerful data analytics and automation with a platform designed for ease of use.

data-driven

Data-driven

Datos Health automatically cleanses, validates, and tags patient data, preserving staff hours. Our Care Team Dashboard allows clinicians to easily see data trends and receive notifications on changes in a patients’ health so they can quickly intervene and prevent adverse events.

user-friendly

Device Agnostic

Unlike some RPM solutions, Datos Health can integrate with any connected device to collect the necessary patient generated health data. Patients can use devices they already own and wear (such as a smartwatch), helping to improve compliance.

fully-automated

Fully Automated

Our software recreates the steps in a care teams’ clinical workflow. Datos Health then performs tasks following a decision tree and notifies the care team when necessary. Patients are guided through at-home care for their symptoms or directed to visit the ED.

device-agnostic

User-friendly

Our Patient Experience app was designed to be easy for any patient to use, which is crucial for patient engagement. The Design Studio also features a user-friendly drag and drop interface, enabling care teams to quickly personalize treatment plans.

What they say about us

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