Western Healthcare’s Alliance Community Care Alliance: increasing member population

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After losing key IT personnel, CCA found themselves unable to provide accurate and complete data to their board, which had significant impact on their ability to fulfill their value proposition. To address this crisis, CCA searched for external partners that could streamline analytic workflows and ingest and integrate commercial claims data. Thus began the partnership with REDi Health.

 

By integrating claims data from six third-party administrators, REDi Health was able to transform CCA data into a unified format. This process streamlined and consolidated the disparate databases, reducing the time spent on data manipulation and providing CCA with greater transparency. REDi Health also delivered accurate patient-to-provider attribution models.

 

REDi Health’s accurate patient-to-provider alignment and transparent methodology resulted in an increased number of patients being matched with primary care providers. This combined with improved risk-stratification produced greater alignment with care coordinators to deliver increased quality of care for high-risk patients.

 

• Increased member population by 8.3%

• Concise patient-level reports and data analytics were able to free up critical    staff hours allowing providers and their teams to focus on the delivery of            patient care and care coordination.

The team at REDi Health worked tirelessly to reverse engineer processes, get data flowing, and provide valid, comprehensive data to our board. Through our partnership, CCA can now ‘Deliver with Care,’ providing our members the data they need to improve their patients' quality of life.

Picture of John Wadsworth

John Wadsworth

John Wadsworth is a co-founder of REDi Health and a passionate advocate for rural healthcare. For more than 25 years, he has worked alongside hospitals and health systems to help them use data to improve care, strengthen communities, and create healthier futures. John believes that strong healthcare is essential to strong families and thriving communities. His commitment to rural health is rooted in the belief that people should be able to access quality care close to home, where they can remain connected to their families, support systems, and the communities they love. For John, this work is about helping create the conditions for people to stay healthy, build meaningful lives, and continue calling rural communities home. Throughout his career, John has partnered with healthcare leaders across the country to turn complex data into practical action that improves outcomes and supports long-term sustainability. Known for his thoughtful leadership and collaborative approach, he remains focused on helping rural and underserved communities thrive. John holds a Master of Science in Biomedical Informatics from the University of Utah School of Medicine.

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