A key aspect of services provided by Intelligent Healthcare, our careful, integrated risk analysis methods enable us to identify the underlying illness burden within a patient population and calculate population risk scores. We differentiate between adverse selections (a higher illness burden for what may be a normal demographic population) and disadvantageous selection, such as an older population but not necessarily with a higher illness burden. This information is used to adjust reported scores for Scorecards, adjust the rankings of physicians on Cost and Utilization Reports, compare the cost per case to care for many different types of patient conditions, and to project future healthcare costs. Our clients are able to make sound business decisions with information that takes into account all these factors.

Intelligent Healthcare also provides risk-adjusted capitation analysis, which can alter payments based on the medical history of enrollees. Age, sex, benefit plan coverage, exclusions, and co-payments can provide some adjustment for expected cost. For healthcare purchasers and payers, adjustments for patient condition can align payments closer to the type of services that would actually be needed.

Intelligent Healthcare utilizes episode of care analysis tools from Symmetry-Health Data Systems, considered the reference standard for severity-adjusted episode of care, including their Episode Treatment Groups (ETGs) and Episode Risk Groups (ERGs).