Encompass Medical Management, Salem Health Solutions, Wakely Consulting Group and two other providers of healthcare management services will use the Johns Hopkins Adjusted Clinical Groups Predictive Model software (ACG-PM) to improve their health plan clients’ ability to identify and focus on individuals who are candidates for disease management programs, thereby improving care delivery and reducing medical costs.
ACG-PM is a component of the ACG Case-Mix System, the nation’s most widely used and evaluated population-based risk-adjustment tool. Developed and maintained by Johns Hopkins, the tool is distributed exclusively by CSC in the US.
In comparing how various patient populations use healthcare resources, the software factors in the morbidity or illness burden of patient populations, so healthcare providers, insurers and health maintenance organizations can describe or predict a population’s past or future use of a health plan and related costs. ACG analysis reports can then influence actuarial and healthcare management policies and decisions, resulting in greater operational efficiency and quality of care.
Wakely reviewed more than a half-dozen risk-adjustment products, said Brian Weible, vice president of Wakely Consulting Group. We chose the ACG System based on the explanatory power of the system’s algorithms, the clinical support provided by the Johns Hopkins School of Public Health and the more than 10 years of market testing the system has undergone.
