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Community Advocate™
Community Advocate™

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Solutions

Description

Product Description:
Supporting At-Risk Members: Encouraging healthy living to facilitate wellness and simultaneously ensuring members have timely access to appropriate, quality care is essential to both your mission and success. This two-pronged approach helps manage costs, improve health/outcomes, and drive member satisfaction, loyalty, and retention. Of course, your members live in a multitude of environments and have varying levels of support and resources. Research shows ‘social determinants’ —circumstances and conditions in which people are born, grow up, play, live, and work — correlate with members’ ability to stay healthy, engage in preventive screenings, and access care. Understanding these correlations and addressing disparities is the key to helping at-risk members stay healthy and access the care they need. New Medicaid Rules: Federal rules governing Medicaid managed care now allow health plans to spend capitation dollars on value-added services not covered by the state to improve quality and/or reduce costs. While the cost of the services can’t be included in capitation rates, they can be included in the numerator of the medical loss ratio (MLR) if they’re part of a quality initiative. This policy shift emphasizes the importance of proactive outreach to members who need assistance obtaining services which support their mental, physical, and emotional well-being. Hierarchy of Needs: Wellness, healthcare, and social determinants are inextricably intertwined. Research shows 40% of health outcomes are attributable to social and economic factors, reflecting a stronger correlation than the link between health outcomes and genetics, health behavior, clinical care, or physical environment3. As an example: every year 63% of low-income households and older adults must make spending choices between food and medical care4. To engage your at-risk members in heathy behaviors and timely care, you must first help meet their most basic needs. Proactive Outreach: • Identifies members most in need of assistance • Provides a member-centric, concierge service with personal outreach via experienced, empathetic advocates • Leverages our robust database of thousands of private and public social programs • Assists members with determining program eligibility and enrollment • Confirms benefits are being received and maintains ongoing engagement Our Expertise and Experience: For over 17 years we have specialized in addressing social determinants of health (SDOH) by identifying barriers to care. With our time-tested engagement process, we assist members with eligibility identification and enrollment for dual status in Medicare/Medicaid as well as with annual recertification, Medicare Part D, and community programs.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.
Product Description:

A Health Equity Solution - AccendoWave's Real-Time Benchmarked Pain Database (specialty, gender, age)

About AccendoWave:

AccendoWave, a Pain Data Company with machine learning pain measurement & management technology. 

AccendoWave, a Top 4 Global Best in Class Health Equity Solution and Top 15 Global Best in Class Remote Monitoring Company, benchmarks pain data (specialty, gender, age) with machine learning technology to eliminate bias, improve outcomes and reduce health care costs. Incubated by HCA - Samsung and AT&T are our partners.

 

AccendoWave has nine objective pain datbases (Women's Health, Oncology, Labor & Delivery, Emergency Room, Ortho/Neuro, Med/Surg, ICU, Senior, Adults). 

Pain is the primary reason patients access healthcare - so pain is a primary driver of health care cost. Pain levels don't show up in claims data nor can objective pain levels be extracted from EHR's. So Employers/Health Plans/Hospitals/Government have no visibility into or data on the primary driver of health care costs.  

Pain has a bias problem. There is extensive research & RWD showing bias: women and pain, ethnicity and pain, seniors and pain. 

The real world data from our health care systems is crushinly similar. #1 complaint of patients of color is that their pain isn't believed. This results in less pain medicine given to these patients and later stage cancer diagnosis.  

Given the new state, health plan and CMS initiatives on health equity, health systems must provide data and focus on this pain bias problem. 

Additionally, a patient whose pain isn't believed doesn't trust their provider or health care system, and their patient experience is a zero. 

AccendoWave provides data and insights to eliminate pain bias, improve care and reduce stakeholder healthcare costs. 

AccendoWave utilizes full spectrum brain analysis and deep learning algorithms to measure & monitor discomfort/pain. AccendoWave has four products: 

1. Digital Opioid Alternative (Hospital & Home) Value Proposition - Reduce Opioid Usage, Reduce Length of Stay, and Improve Patient Satisfaction. Most Cost Effective Choice to Meet The Joint Commission Non Pharma Pain Treatment Modality Requirement. Home - to reduce opioid usage in the transition from hospital to home. *AT&T reimburses for AccendoWave for 30 days post hospital discharge. 

2. UV Sanitizing & Charging Technology (Hospital) Value Proposition - Infection Control and Simplified Charging for AccendoWave Hospital Technology. 

3. Top 15 Global Best in Class Remote Pain Monitoring Technology. Value Proposition - Data Insight into Pain - A Primary Driver of Cost & Outcomes. *AT&T reimburses for AccendoWave for 30 days post hospital discharge. 

4. Largest Global Real-Time Database on Pain with Nine Seperate Objective Pain Databases. Value Proposition - Objective Pain Benchmarked Data to Address Health Equity, Improve Operational Performance, Reduce Costs, Improve Patient Satisfaction, and Demonstrate Outcomes. 

Compatibility level

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Clients

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Use Cases

Description:

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Pediatric use cases:

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Users:

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Description:

Overview: Pain is the primary driver of cost as pain is the primary reason patients access health care. Hospitals have no visibility into objective pain level data as pain data can't be extracted from the EHR.


Health Equity - Many patients feel their pain isn't believed (women and pain, ethnicity and pain, seniors and pain). There is growing body of research and real world data demonstrating pain bias.


Hospital Inpatient: Reduction in Length of Stay by comparing individual patient pain to AccendoWave's benchmarked pain databases to improve care pathways and reduce healthcare costs.

Hospital at Home: Measure Individual patient pain and compare pain levels to AccendoWave benchmarked pain databases to improve care pathways and reduce healthcare costs.

Pediatric use cases:

Children are largely unable to articulate their pain levels. AccendoWave can be used to understand pediatric pain by measuring individual pain and comparing that pain to AccendoWave's pediatric pain database.

Users:

1. Hospitals 2. Medicare Advantage Health Plans 3. Pharmaceutical Companies 4. Government 5.Medical Device Companies 6.Data Companies 7. Technology Companies

Professionals: Nurses, Nurse Practitioners, Techs, Psychologists, Care Coordinators

EHR Integrations

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Integrations:

Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Other

Hardware Compatibility:

Other

Client Types

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Awards

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Differentiators

Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

AccendoWave has the unique ability to provide objective pain level data. Pain level data can not be extracted from EHR platforms.

Differentiators vs Competitors:

AccendoWave is the global leader in objective pain level data. Pain level is linked to length of stay, opioid usage, and readmissions. No competitor according to Lazard has the ability to quantify individual pain level data and provide a comparison of individual pain data to a global pain database.

Keywords

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AccendoWave - UCSF Health Awards New Health Application of AI Quarterfinalist Spotlight

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Company Details

Founded in 2007

Founded in 2012

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