ConcertoHealth CIO Sampath Narayanan discusses the ConcertoHealth risk stratification model and proprietary “hotspotters” algorithm in his blog series about the work his team is doing to improve patient outcomes. The model and algorithm identify each patient’s risk level in a timely manner to best focus resources and deploy field-based primary care services.
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ConcertoHealth Inc. is the leading risk-bearing provider of field-based complex care for persistently high-cost and rising-risk populations. The company’s multidisciplinary care teams meet patients where they are, with the care they need, whether in the home or hospital. The ConcertoHealth care model improves overall health quality and outcomes with a track record of reducing hospital admits by 47%, readmits by 40% and ER visits by 16% for the most frail and vulnerable populations in America, benefiting patients, payers and provider networks alike.