The Challenge
Western Healthcare Alliance (WHA), an accountable care organization serving communities across Colorado, supports member hospitals and providers in managing population health while maintaining financial sustainability. Like many ACOs—especially those serving rural and frontier communities—WHA faced rising utilization driven by fragmented care, limited visibility into patient risk, and reactive interventions that came too late.
WHA needed a way to proactively identify rising‑risk patients, reduce avoidable emergency department (ED) visits and inpatient admissions, and equip care teams with actionable insights—without adding burden to already stretched clinical staff.
The Approach
WHA partnered with REDi Health to implement a proactive, data‑driven care management strategy focused on early identification, prioritization, and targeted intervention.
Together, WHA and REDi Health:
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Leveraged claims and clinical data to identify high‑risk and rising‑risk patients earlier
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Built comparative and longitudinal views to understand utilization drivers
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Equipped care managers with clear, prioritized patient lists and actionable insights
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Aligned analytics with real‑world workflows to support timely, personalized outreach
Rather than simply reporting on utilization after the fact, the approach focused on changing behavior upstream—helping care teams intervene before unnecessary utilization occurred.
The Results
The impact was both measurable and meaningful.
Across approximately 32,000 attributed members, WHA achieved:
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8% reduction in inpatient admissions per 1,000 members
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9% reduction in ED visits per 1,000 members
These reductions translated into lower avoidable utilization, improved care coordination, and stronger financial performance—without compromising patient outcomes.
Why It Worked
The success wasn’t just about better data—it was about how that data was used.
Care teams gained the ability to:
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See risk earlier instead of reacting after utilization occurred
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Focus outreach on the patients most likely to benefit
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Deliver more personalized, timely support that helped patients make better care decisions
As one WHA leader shared, the analytics didn’t replace clinical judgment—they amplified it, making proactive care practical at scale.
A Model for Sustainable Change
For WHA, this work went beyond short‑term utilization reduction. It strengthened care management capabilities, improved collaboration across providers, and created a repeatable, sustainable model for managing population health.
By pairing WHA’s deep commitment to rural and community health with REDi Health’s hands‑on analytics and change management approach, the partnership delivered results that matter—both financially and clinically.
The Takeaway
When analytics are designed to fit real workflows—and paired with proactive care strategies—ACO and rural health organizations can reduce unnecessary utilization while improving patient care.
REDi Health partners with organizations like WHA to turn data into action, supporting smarter decisions and stronger outcomes for the communities they serve.
8% reduction in inpatient admissions per 1,000 members 9% reduction in ED visits per 1,000 members
