New Member Profile
Prior to eligibility, AlignCare can provide a comprehensive risk profile on a majority of your new members. New Member Profiles can tell you which new members are high risk and where opportunities exist to optimize revenue and costs, helping your organization focus the right interventions on the right members at the right time.
Pinpoint New Member Risk in Three Key Areas
Care Management
Identify members very likely to:
- Have an acute event in the near future
- Benefit from complex care management, disease management and/or Medication Therapy Management (MTM) programs
- And much more
Revenue & Cost Optimization
Identify members for:
- Part D Stars opportunities
- HCC and other risk adjustment suspects based on prior year history
- High-cost medication usage
- High utilization of non-network providers
- And much more
Medication Management
Identify members with:
- Low/non-adherence to critical medications
- Polypharmacy/Polyprescriber
- Opioid Abuse
- Drug-drug/drug-disease interactions
- And much more