HEALTH RECALCULATED.
WHAT IS HEALTH RECALCULATED?
RISE provides access for self-insured companies to save thousands to hundreds of thousands of dollars within their healthcare plan through care management and data analytics that helps maximize utilization while making sure every employee is informed and on track to improving their individual health.
The results are a better workplace, healthier both financially and physically.
In addition, RISE is taking analytics and turning it into action by building out a one-stop-shop ecosystem under it’s brand that supports businesses and consumers alike with access to affordable medications, nutritional supplements and support, coaching and wellness, and eventually spaces where members will find an updated, welcoming and better fitting format of fitness clubs of the past. RISE hopes to provide affordable, broad-reaching, trusted and reputable access to the things people need to live a better, healthier, and more positive life at any age.
THE SUPPORT & TOOLS THAT CHANGE OUTCOMES.
RISE empowers businesses and individuals with practical tools to unlock significant savings on healthcare expenses, while simultaneously providing innovative, affordable solutions for better mental and physical well-being.
By challenging the assumption that wellness and cost-effectiveness are mutually exclusive, RISE proves they can - and should - work hand in hand. Through its multifaceted model, RISE consistently lowers costs and fosters improved health outcomes for clients and consumers alike.
RISE ANALYTICS will transform how self-insured organizations engage with their employees to maximize health and wellness. RISE ANALYTICS aggregates data from diverse repositories and claims information, then uses cloud-based, cutting-edge analytics to identify points of intervention that can elevate overall health outcomes. We also leverage this data to reduce corporate costs by providing payment integrity and subrogation services.
ANALYTICS INTO ACTION
Analyzing claims of employees can provide clarity on how employees are using their healthcare options. Taking a proactive role in this area usually leads to dramatic savings and better utilitzation from top to bottom. And most importantly, employees are educated and guided to make sure everyone gets the proper and appropriate care they require at the right time. Healthier. Happier. Educated. Empowered. Being proactive with a population can create an overall positive impact not only in the patients health but the work environment around them.
Each year through outreach to patients the care management tool provides meaningful and consistent engagement to help reduce the cost of healthcare, break down barriers to care, and to educate patients with an end result of creating a healthier population to support.
Patient's claims or medication history can, and should be, analyzed to identify medical conditions, show if they are adhering to their medication schedule, or other high-risk high-cost items that can be better navigated through targeted care management.
Key components of care management include: patient assessment, care planning, patient education, medication management, risk stratification, care coordination, transition management, monitoring clinical conditions, identifying high-risk individuals, and advocating for patient needs, all aimed at providing a holistic approach to managing employee needs and helping the entire business reach healthier ground.
Some of the more costly risks can be avoided through analysis and education.
ER Utilization - when a patient has been identified as a high ER user an outreach happens to determine the barriers, educate, and find an in network provider to schedule an appointment to receive care.
Medication Adherence - 40% of Strokes happen from high blood pressure, 80% of people do not correctly take their high blood pressure medication. Identifying patients not adhering to medication should be outreached, educated on the importance, ask to identify barriers, determine if they need low cost solutions, or set up for scheduled deliveries. This would apply to various other scenarios where not adhering to medication could potentially have a deadly result.
Disease Management - Diabetes, Kidney Disease, High Blood Pressure, Mental Health are all conditions that should be managed through engagement and education.
The goal is get people marching down the right track toward better health by analyizing their actions in their times of need and making sure they are doing the right things at the right time. This will lead to positive health and financial outcomes while getting a better understanding of where people are with their health and the utilization of their health care options.
