Services

Services

Our Experience

Our team has its roots in working with complex populations – behavioral health, substance use disorder, and intellectual and developmental disabilities.  We have served this population for years as leaders for several community safety-net health plans and large national Medicaid/Medicare health plans.

Our shared experience has taught us the value of understanding the services that each member needs to live their best lives.  The sooner health plans can understand the health and social profile of members – in as much detail as possible – the sooner the health plan can target the right members, with the right resources, at the right time. We all know there is never enough resource capacity within the healthcare system, so understanding how to optimize resources is paramount.

Our Experience

Our team has its roots in working with complex populations – behavioral health, substance use disorder, and intellectual and developmental disabilities.  We have served this population for years as leaders for several community safety-net health plans and large national Medicaid/Medicare health plans.

Our shared experience has taught us the value of understanding the services that each member needs to live their best lives.  The sooner health plans can understand the health and social profile of members – in as much detail as possible – the sooner the health plan can target the right members, with the right resources, at the right time. We all know there is never enough resource capacity within the healthcare system, so understanding how to optimize resources is paramount.

Actionable Insights

At Periscope, we have coupled our health plan experience and clinical expertise with cutting-edge data science tools and techniques to provide meaningful insights.  Our data science team can drill down to the individual member level and predict who is most likely to develop a wide range of chronic and costly conditions.  We can further inspect the data on a member-by-member basis to uncover exactly why each member is more likely to develop a particular condition, which allows for more precisely targeted interventions – at a time when those interventions are lower cost and more likely to be impactful, long-term.

We are excited to partner with health plans to make a meaningful difference in the lives of their members.

How We Help

Periscope Health Analytics can help in a broad range of ways, some of which are outlined below.  We welcome conversations of how we can help address your organization’s unique needs.

Population Health

Periscope can identify members who are most likely to be on a pathway to a chronic and costly health condition – before these members would show up as high risk using traditional risk stratification systems. In turn, our health plan partners are able to deploy interventions earlier to improve health outcomes and reduce costs.

HEDIS Measures

Using health plan data, Periscope can identify which members are most likely to be impactable through targeted clinical interventions that map to improved member wellness and drive improved HEDIS scores

Risk Adjustment

Periscope can identify members who are missing crucial diagnoses in their medical records. With these insights, our health plan partners can get these members to their health care providers quickly, leading to more timely care, while also positively impacting the health plan’s risk adjustment.

Requests for Proposal

States are looking to health plans to drive innovation while monitoring for indicators of wasteful spending and inefficiencies in government-funded healthcare. Using Periscope’s insights, health plans will be at an advantage by being able to provide real examples in the value of predictive analytics solutions. A partnership with Periscope will differentiate your health plan’s RFP response.

New Health Plan Go Live

After contract award, Periscope can help ensure that your health plan is ready to onboard its new membership. Utilizing member data received, we can provide insights to inform how you stratify and prioritize engaging new members, helping you and your members to stay ahead of developing health conditions.

AI as a Service

At Periscope, we can build custom models to assist with your health plan’s unique issues. Using machine learning and predictive analytics, we can help you see what’s coming in time to manage for it. Some of our customized models include risk of institutionalization, membership churn, and group underwriting. Let us help you prepare for what’s ahead.

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