Population Risk Intelligence

HMS’ Elli provides reliable intelligence into consumer populations to improve quality, optimize outcomes and control costs.

Imagine an easier and quicker way to identify members — both new and in your existing population — with chronic conditions, utilization or potential medication misuse or non-compliant in preventive care needs.

With Elli, you can dramatically drive improvements through early targeting of individuals most likely to benefit from care intervention for both fee-for-service and managed care populations.

Predictive &
Prescriptive Models
Leverage artificial intelligence to process 1000+ predictors from claims and social determinants.
Clear box analytics allow insight into WHO – who is risky, WHY – why the member is risky, and WHAT – what are the recommendations for mitigating the risk.
Elli can correctly identify up to twice as many rising risk adverse health events when compared to actuarial models.
Proactively closing care gaps for individuals with rising risk can improve quality measures by 10-15%.
Customer
Focus
Leverage artificial intelligence to process 1000+ predictors from claims and social determinants.
Clear box analytics allow insight into WHO – who is risky, WHY – why the member is risky, and WHAT – what are the recommendations for mitigating the risk.
Elli can correctly identify up to twice as many rising risk adverse health events when compared to actuarial models.
Proactively closing care gaps for individuals with rising risk can improve quality measures by 10-15%.
  • Chronic Conditions
  • Social Determinants of Health
  • Utilization Patterns
  • Medication Adherence
  • Quality Measures
Transparency Into Your Population
Elli is a risk intelligence solution that provides insights on your population. HMS’ Elli continuously monitors individuals to proactively identify risks related to factors like medical conditions, gaps-in-care, social determinants and utilization history. It can integrate with other population health tools and doesn’t require your organization to invest in additional IT resources. Its insights empower care managers by giving them actionable information to drive change in your population.
Visibility Into Rising-Risk Populations
Most health systems know who their highest utilizing individuals are today, but if they want to prevent cost, they need insight into who is at risk of incurring cost in the future. These low- to high-risk individuals change every month, so it is critical to identify and monitor rising risk continuously.
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Population Analytics
  • Member Counts and Trends
  • Incidence and Utilization by Diagnosis and Medication
High-Risk Members
  • Sort members by Risk, Utilization, Alerts, Status and Effective Date
  • Click Member to view Member Health Profile
Cost Breakdown
  • Visit Type
  • Diagnosis
  • Medications
Keep your population healthy
with integrated and intelligent solutions.
Health Engagement
Management
EXPLORE ELIZA
Care Management
Platform
EXPLORE ESSETTE