The DataSmart CST
The DataSmart CST (Client Solutions Tool) is an online computer software service which delivers medical advisory, scientific, and actuarial services and information to insurance companies, actuaries, and healthcare professionals. The CST enables professionals to predict healthcare costs, control losses in insurance plans, and discern and identify people who are at greatest risk of medical illnesses based on their bio-metric and other data. Results include benchmarking and comparisons to other populations of data.
Standard CST reports include plan level evaluations, member level analysis by risk and disease cohort, plan analysis and recommendations, concurrent and prospective member risk scoring, care density analysis, and a detailed analysis of key cost drivers. Priced on a per employee per month basis (PEPM), the DSS CST provides you with valuable tools to manage down your healthcare spend or that of your customers.
All Source Risk Score
All Source Risk Scores are the most powerful predictive modeling tool available to actuaries, insurance, and healthcare professionals. All Source Risk Scores combine claims data, biometrics, and self-reported health data to help users manage existing and future health challenges.
The DataSmart All Source Risk Score is a feature of the CST (Client Solution Tool) and consists of an optional online computer software service which delivers highly-amplified medical advisory, scientific, and actuarial services and information to insurance companies, actuaries, and healthcare professionals. Using the All Source Risk Score, users may discern with greater accuracy the individuals who are at greatest risk of medical illnesses based on their bio-metric and other data. Users also use the All Source Risk Score to help predict healthcare costs, and control losses in insurance plans. Results include benchmarking and comparisons to other populations of data.
DataHOQ (pronounced, “Data Hawk”, for Health Online Questionnaire) provides the most accurate health risk-scoring available in cases where medical and pharmacy claims data are scant or absent. Using a well-tested panel of questions, the self-reporting survey gives a first glimpse into the existing and future risk of a plan and each plan participant, enabling risk managers, payers, and care coordinators to begin interventions earlier.
DataHOQ is a computer program, fed with a specific questionnaire (completed on paper or as an online service) which delivers analyzed results to actuaries and insurance and healthcare professionals for the explicit purpose of evaluating the current and prospective health risk of individuals and by accurately predicting which individuals are most likely to experience rising healthcare costs and at what cost. DataHOQ simplifies loss management and control within the plan.
DataSmart Consultative Projects
DataSmart Solutions deploys skilled teams of experts to meet client needs in data-dependent projects with the analysis and control of near-term healthcare costs as objectives.
Typical projects consist of the following:
- Ad hoc reports, custom reporting capabilities
- Supporting ACOs and other Carrier-Network shared-risk contracts with population risk scoring
- Strengthening the product offerings of claims administrators and ASOs with predictive analytics
- Design of ACA-compliant employee benefit plans
- Pharmacy benefit plan optimization and design
- Evaluation of initiative and program effectiveness (e.g. on-site clinics or wellness programs)
- Network and provider efficiency evaluations
- Special State, local, and Federal Government healthcare projects