Use Cases

Improving Care for Justice-Involved Individuals – Provider

January 2nd, 2024
 |  
Care Coordination  |  
Care Management  |  
Population Health

Individuals returning to the community after incarceration have disproportionately high rates of mental health and substance abuse issues, chronic physical health conditions, as well as barriers to housing, jobs and other social needs that can affect health. Learn how Patient Sortal used the ACG System to deliver better health care to justice-involved individuals.

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Improving End-of-Life Care in the UK – Provider

July 10th, 2023
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Care Management  |  
Population Health

Learn how Dorset ICS are implementing a unique, personalised model of palliative and end of life care (P&EOLC) that improves the quality of life of people (together with their families and caregivers) who need it.

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Stratify a Population’s Risk and Health Needs – Payer

January 8th, 2023
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Care Coordination  |  
Care Management  |  
Population Health

Learn how Humana Health Informatics uses the ACG System in predictive modeling for program design, improving care management services and customizing patient messaging.

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Reduce Emergency Department Utilization and Cost – Provider

January 3rd, 2022
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Population Health

Emergency Department visits for non-urgent care strain limited resources, incur unnecessary costs and contribute to sub-optimal care coordination. Learn how to analyze your Emergency Department data to reveal potential savings and improve health outcomes.

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Reducing Emergency Department Visits – Payer

October 19th, 2021
 |  
Population Health

The team at Discovery Health wanted to find a way to reduce unnecessary emergency department visits and improve patient access to PCPs. Learn how they used the ACG System’s ED classification system to achieve their objective.

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Reducing Disparities in the Delivery of Primary Care – Provider

May 18th, 2021
 |  
Population Health

This report details the work of 2020 Starfield award winner Discovery Health to demonstrate, using the Johns Hopkins ACG System, the impact of improving primary care utilization.

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Recalibration of Predictive Models

January 25th, 2021
 |  
Population Health

This short report provides details of the third recalibration of the predictive models within the ACG System for the UK.

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COVID-19: SCW Outreach – Provider

October 12th, 2020
 |  
Population Health

The UK Government and National Health Service required the identification of individuals at a higher risk of complications from COVID-19. The NHS South Central & […]

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COVID-19: JHHC Medicare Advantage Patient Outreach – Payer

October 10th, 2020
 |  
Population Health

Health plans have experienced an unprecedented need to identify patients most at-risk and vulnerable to complications from COVID-19, take action to manage underlying chronic disease […]

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COVID-19: Marathon Health Outreach – Provider

October 9th, 2020
 |  
Population Health

By leveraging the Johns Hopkins ACG System, Marathon Health was able to offer outreach and options to individuals identified as a higher risk of contracting or experiencing complications as a result of COVID-19.

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