Proactive Care

Introducing your newest team member, the Predictive Insight (PI) Platform; a cutting-edge solution for identifying and addressing patient risks before they escalate or even become a full risk. Leveraging advanced AI and machine learning, this platform analyzes comprehensive data to pinpoint patients at risk of medication non-adherence, unmet health needs, and potential adverse outcomes that would lead to hospitalizations. Predictive Insight (PI) not only flags these high-risk patients but also provides actionable recommendations for targeted interventions. With its ability to foresee and mitigate health issues, the platform empowers Equivio’s Clinical Care Team to deliver proactive, personalized care. 

Patent Pending

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The Predictive Insights Platform for Proactive Care

Patent Pending

Introducing your newest team member, the Predictive Insight (PI) Platform; a cutting-edge solution for identifying and addressing patient risks before they escalate or even become a full risk. Leveraging advanced AI and machine learning, this platform analyzes comprehensive data to pinpoint patients at risk of medication non-adherence, unmet health needs, and potential adverse outcomes that would lead to hospitalizations. Predictive Insight (PI) not only flags these high-risk patients but also provides actionable recommendations for targeted interventions. With its ability to foresee and mitigate health issues, the platform empowers Equivio’s Clinical Care Team to deliver proactive, personalized care. 

Drug Analytics

The PI Platform dives deep into each patient’s full drug profile because we believe treating every disease state is key to keeping patients truly healthy. By covering all health aspects, we help patients stay on top of their wellness.

Risk Analytics

With our cutting-edge AI and machine learning, each patient gets an Equivio Risk Rate, guiding interventions proactively to keep them healthy. We consider everything from social factors to drug supplies, ensuring a comprehensive risk assessment.

Clinical Support

Our dynamic Equivio Clinical Care Team, comprised of pharmacists, nurses, Community Health Workers, and midlevel practitioners offers interactive support through ACE, virtually, and/or onsite. This ensures every patient gets the personalized attention they deserve.

Improved Outcomes

The PI Platform also pinpoints patients who require Annual Wellness Visits, and who would benefit from enrollment in Chronic Care Management and Remote Physiologic Monitoring, expanding access to care and reducing care gaps.

Transparent Reporting

The Platform establishes a baseline risk assessment for your entire patient population and tracks improvements in health, longevity, adherence, diagnosis accuracy, and more, ensuring comprehensive progress monitoring.

Increased Revenue

With Equivio’s blend of onsite and virtual services, providers, hospitals, and ACOs witness not just an uptick in monthly patient services but also augmented shared savings due to the reduction in risk and enhanced healthcare outcomes.

Comprehensive Data Sources

Electronic Health Records

We have several ways of collecting the EHR data in order to calculate the baseline and continuous results from the PI Platform.

Prescription Data

We partner with a secure prescription data company to provide us with “switch” information, validating the adherence results in real time.

Patient Reporting

The PI Platform pulls patient interaction data from ACE in realtime to project health impacts, improvements, and overall outcomes.

Predictive Insight
Predictive Insight
Predictive Insight
Predictive Insight

Equivio Risk Rate

The Equivio Risk Rate is a critical component of the Predictive Insight (PI) Platform, providing clinicians with a powerful tool to proactively manage patient health. By leveraging AI-driven algorithms and machine learning, the Equivio Risk Rate analyzes comprehensive patient data—including social determinants of health, drug supply issues, community risk factors, medical history, and more—to generate a personalized risk score for each patient. This score enables the Equivio Clinical Care Team to identify those patients at the highest risk for medication non-adherence and overall adverse health outcomes, allowing for timely interventions that can prevent complications, reduce hospitalizations, and enhance overall patient care. Access to this data empowers clinicians to make informed decisions, close care gaps, and ultimately improve health outcomes while optimizing reimbursement opportunities.  The weight of each risk component and/or combination of risk components can be adjusted to reflect specific payer, provider, and/or ACO demands creating a truly customizable Risk Rate.

Gap Closure Rate

Gap closure in the PI Dashboard is critical for optimizing patient care and enhancing clinical outcomes. The PI Platform identifies care gaps, such as overdue Annual Wellness Visits, unmet HEDIS measures, and medication adherence issues. By assigning Equivio Clinical Care Team members—including pharmacists, nurses, midlevel practitioners, and Community Health Workers—to perform onsite or virtual Annual Wellness Visits and provide virtual support for Chronic Care Management, Remote Monitoring, and Medication Adherence interventions, combined with the ACE Platform, we ensure these gaps are effectively addressed. This comprehensive approach not only improves patient health outcomes and reduces hospitalizations but also maximizes reimbursement for providers through compliance with payer and CMS requirements. The PI Dashboard’s ability to pinpoint these gaps and drive action around them, ensures continuous, high-quality care for patients while enhancing the efficiency and effectiveness of healthcare teams.

Predictive Insight
Predictive Insight

Gap Closure Rate

Gap closure in the PI Dashboard is critical for optimizing patient care and enhancing clinical outcomes. The PI Platform identifies care gaps, such as overdue Annual Wellness Visits, unmet HEDIS measures, and medication adherence issues. By assigning Equivio Clinical Care Team members—including pharmacists, nurses, midlevel practitioners, and Community Health Workers—to perform onsite or virtual Annual Wellness Visits and provide virtual support for Chronic Care Management, Remote Monitoring, and Medication Adherence interventions, combined with the ACE Platform, we ensure these gaps are effectively addressed. This comprehensive approach not only improves patient health outcomes and reduces hospitalizations but also maximizes reimbursement for providers through compliance with payer and CMS requirements. The PI Dashboard’s ability to pinpoint these gaps and drive action around them, ensures continuous, high-quality care for patients while enhancing the efficiency and effectiveness of healthcare teams.

Predictive Insight

Program Enrollment

The Equivio Clinical Care Team leverages the data from the PI Platform to proactively identify patients at risk of negative health events, including hospitalization. By analyzing the patient’s medical history, current health status, information collected by ACE, and adherence patterns, the PI Platform pinpoints those who need immediate intervention. Our team then reaches out to these patients via the ACE Platform, phone, video, and/or text to schedule either an in-person visit or a virtual interaction. During these interactions, we work closely with the patients to develop personalized treatment plans that address their specific needs, ensure medication adherence, and close care gaps. This proactive approach not only prevents potential health crises but also fosters a supportive relationship between patients and providers, ultimately leading to better health outcomes and reduced healthcare costs.

Data-Driven Proactive Interventions

The PI Platform harnesses the power of data-driven insights to transform patient care. By analyzing comprehensive data from various sources, including EHRs, payer records, ACE data, and patient self-reports, the platform identifies patients at risk and recommends timely interventions. These insights help clinicians prioritize care, address potential health issues proactively, and close critical care gaps. With a focus on removing barriers, managing chronic conditions, and ensuring preventive measures, the PI Platform enables healthcare providers to enhance patient outcomes, reduce hospitalizations, and maximize reimbursement. Embracing data-driven insights, Equivio empowers providers to deliver higher-quality care through informed, strategic decisions.

Predictive Insight
Predictive Insight

Data-Driven Proactive Interventions

The PI Platform harnesses the power of data-driven insights to transform patient care. By analyzing comprehensive data from various sources, including EHRs, payer records, ACE data, and patient self-reports, the platform identifies patients at risk and recommends timely interventions. These insights help clinicians prioritize care, address potential health issues proactively, and close critical care gaps. With a focus on removing barriers, managing chronic conditions, and ensuring preventive measures, the PI Platform enables healthcare providers to enhance patient outcomes, reduce hospitalizations, and maximize reimbursement. Embracing data-driven insights, Equivio empowers providers to deliver higher-quality care through informed, strategic decisions.

Predictive Insight

Adding the Equivio Clinical Care Team to Your Staff

Realize improved outcomes and efficiency with the same payroll and benefits spend.   Let the Equivio Clinical Care Team be part of your team today.

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