Medical Care and Disease Management

There is a strong need in the Health Care industry for more accurate and cost-effective medical care and disease management intervention.  Risk scoring for medical care and disease management, based on claims analysis alone, is inaccurate and costly.

DHSoft provides more efficient and profitable member risk assessment and scoring based on analysis of multiple dimensions, rather than claims analysis alone (e.g., provider specialties, membership geographies, and regional care patterns, claims analysis, and other factors). Our solution provides a more accurate understanding of future member risk, claims propensity, and subsequent intervention strategy and planning.

Our solution enables providers and insurers to use predictive analytics to implement more accurate intervention strategies, improve coverage/premium margins, and facilitate specialty provider engagement strategy. Our solution provides for intervention strategies customized for each member, in order to improve operating margins and provide better quality care.