Optimizing healthcare costs without compromising quality is an ongoing challenge for healthcare providers. One way to address this is by adopting highly accurate predictive analytics to identify individual patients at risk across all chronic diseases. Traditional machine learning models are not enough to consider the complexities and variations in how diseases manifest. Hence, a clinically driven risk identification grid based on evidence-based medicine is needed to empower machine learning processes to recognize meaningful variables and predict rising risk and disease progression.
Clinical practice variations amongst care providers could contribute to delivering scalable precision medicine. Standardization across risk identification and mitigation, along with real-time risk data from patients, could improve the engagement at both the patient and provider level.
SaaS solutions like OptMyCare utilize a clinically pre-mapped machine learning process that extracts data from payers, providers, and patients to effectively identify rising risk and its cost implications. Adding genomics data could further increase the power of risk analytic tools in the recognition of emerging risk and the execution of preventive strategies.
With the increasing shortage of healthcare staff, scalability of precision medicine across a large population is challenging. Though personalized risk prevention and mitigation could be beneficial to all citizens, early attention would be required for those at higher risk of immediate health events. Stratifying risk across large populations and implementing mitigation strategies using digital touchpoints would be the most realistic option in scaling personalized medicine.
AI solutions like OptMyCare could facilitate keeping patients out of costly inpatient settings such as emergency departments and critical care units, guiding patients to outpatient care settings where they can be managed more effectively and efficiently. This way, we will update the payor from the traditional threat of being blindsided by catastrophic claims.
By minimizing uncertainty and unanticipated losses for insurance carriers, OptMyCare maximizes patients’ health, resulting in an optimized outcome for all. The platform’s advanced analytics provide easy-to-use risk management pathways via online dialogue, allowing patients to take charge of their healthcare trajectories. By equipping patients to navigate the healthcare arena more effectively, we hope to optimize the healthcare experience for all.
