DST Health Solutions

Software

Health Care Software offers predictive modeling.

Johns Hopkins University's Adjusted Clinical Groups (ACG) System, ACG v9.0, utilizes predictive modeling and risk adjustment to analyze member health. Software classifies members with chronic conditions who are at risk for low adherence to prescription regimens, poor coordination of care among primary care providers/specialists, or acute hospitalization needs. System, which maximizes use of...

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Software

Software provides Medicare risk adjustment.

Incorporating Johns Hopkins ACG System for provider profiling, predictive modeling, resource management, and rate adjustment, DSTHS RiskAnalyzer(TM) determines where provider coding is not capturing disease conditions under CMS-HCC model. Program provides objective set of rules to prioritize provider and member records for chart audit through identification of potentially incomplete or inaccurate...

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Software

Medical Software increases care management effectiveness.

Based on retail pharmacy claims information, ACG Rx-PM predictive modeling software helps identify high-risk cases for care management and underwriting. It also affords users opportunity to integrate new data sources into predictive models for optimal statistical performance and clinical texture. Along with diagnosis-based predictive models, software provides accurate forecast support for...

Read More »
Software

Health Care Software offers predictive modeling.

Johns Hopkins University's Adjusted Clinical Groups (ACG) System, ACG v9.0, utilizes predictive modeling and risk adjustment to analyze member health. Software classifies members with chronic conditions who are at risk for low adherence to prescription regimens, poor coordination of care among primary care providers/specialists, or acute hospitalization needs. System, which maximizes use of...

Read More »
Software

Software provides Medicare risk adjustment.

Incorporating Johns Hopkins ACG System for provider profiling, predictive modeling, resource management, and rate adjustment, DSTHS RiskAnalyzer(TM) determines where provider coding is not capturing disease conditions under CMS-HCC model. Program provides objective set of rules to prioritize provider and member records for chart audit through identification of potentially incomplete or inaccurate...

Read More »
Company News

DST Health Solutions Gets 'Strong Positive' MarketScope Rating

Company Receives Highest Rating Possible in Leading Analyst Firm's North American Healthcare Insurance Payers' Administrative Applications MarketScope Report BIRMINGHAM, Ala., April 30 / -- DST Health Solutions today announced that it received a strong positive rating in Gartner's MarketScope for North American Healthcare Insurance Payers' Administrative Applications, 2007 (1) report. DST Health...

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Company News

Tufts Health Plan Selects DST Health Solutions to Provide Consumer-Directed Healthcare Administration Solution

BIRMINGHAM, Ala., Nov. 28 -- Tufts Health Plan, a nationally recognized leader in providing quality healthcare coverage with Massachusetts' highest enrollment in consumer-directed healthcare (CDH) plans, recently selected DST Health Solutions, Inc. to provide comprehensive administration for their new health reimbursement arrangement (HRA) and health savings account (HSA) products. Tufts Health...

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Software

Medical Software increases care management effectiveness.

Based on retail pharmacy claims information, ACG Rx-PM predictive modeling software helps identify high-risk cases for care management and underwriting. It also affords users opportunity to integrate new data sources into predictive models for optimal statistical performance and clinical texture. Along with diagnosis-based predictive models, software provides accurate forecast support for...

Read More »

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