Use Cases
Population Segmentation of Medicare Patients – Payer
Johns Hopkins Healthcare (JHHC) develops and manages medical care contracts for close to 400,000 plan members. JHHC created a framework based on an adapted version of the National Academy of Medicine taxonomy, combined with ACG System output, to provide a more extensive set of risk categories in an effort to expand their care management programs to high-risk Medicare patients.
New Medicaid Enrollees with Highest Care Needs – Payer
The ACG System can help identify new Medicaid enrollees with high care needs.
Provider Profiling and Engagement – Payer
Johns Hopkins HealthCare (JHHC), the managed care arm of Johns Hopkins, created Provider Profile reports leveraging outputs from the Johns Hopkins ACG System to build a comprehensive Provider Engagement program.
Population Segmentation of Frail Patients – Government
Three Clinical Commissioning Groups (CCGs) analyzed their local populations as part of a new national initiative to address the care of people who are frail. Learn more.
Care Management Program in Israel – Payer
Clalit Health (an integrated delivery system in Israel) used the ACG System to identify high-risk patients for enrollment in a comprehensive complex care management program for its multimorbid population. This led to a reduction in length of time spent in the hospital, reductions in readmission rates and lower costs.
