HealthSmart Contracts with MEDai for Predictive Modeling Technology to Improve Members’ Health and Reduce Costs

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HealthSmart will use MEDai’s award-winning predictive modeling technology to identify members who may currently be at the lower end of a disease stage, but are likely to incur high costs in the near future, one to two years out. The program couples the identification process with an effective disease management program to focus on monitoring and proactively treating the identified members.

HealthSmart improves member's health and reduces cost

Each member is assessed for health risks and appropriate inclusion in an acute or chronic health management program

HealthSmart Care Management Solutions, LP, formerly Q-elements, Ltd., and MEDai, Inc. announced a strategic partnership that provides industry leading predictive modeling technology to HealthSmart’s clients and their members. HealthSmart will use MEDai’s award-winning predictive modeling technology to identify members who may currently be at the lower end of the five disease stages, but are likely to incur high costs in the near future, one to two years out. The program couples the identification process with an effective disease management program to focus on monitoring and proactively treating the identified members.

"Each member is assessed for health risks and appropriate inclusion in an acute or chronic health management program," said Pamela Coffey, Chief Operating Officer of HealthSmart Care Management Solutions, LP. Rather than solely focusing on existing treatment, HealthSmart draws upon MEDai’s forecasting abilities to identify individuals with evolving healthcare needs. Ms. Coffey added, “We assess the member's clinical condition and knowledge of their disease and implement an individualized care plan and educational program. The HealthSmart Predictive Management Clinical Team discusses the member's medication regimen and any life style changes that may be required to improve their quality of life.”

"MEDai's predictive modeling solution goes beyond affecting the bottom line," said Steve Epstein, CEO and President of MEDai, Inc. "it allows care management organizations to proactively educate and manage their population. In this case, HealthSmart's Predictive Management Clinical Team acts as the patient’s advocate, ensuring that every member has a chance at living a healthy and active life," he added.

About MEDai
MEDai, Inc., headquartered in Orlando, FL, is a leading health information company offering award-winning solutions for the improvement of healthcare delivery. Utilizing cutting edge technology, payors and care management organizations are able to forecast patients at risk, identify cost drivers for their high-risk population, forecast future health plan costs, evaluate patient patterns over time, and improve outcomes.

About HealthSmart Holdings, Inc. (Parent Company of HealthSmart Care Management Solutions, LP)
HealthSmart Holdings, Inc., along with its healthcare-related subsidiaries, comprise an innovative healthcare solutions company servicing over 1.7 million members and managing over $3.2 billion in claims. The company is headquartered in Dallas, Texas, and currently maintains 11 service operations around the country. The HealthSmart companies are dedicated to delivering integrated self-funded solutions by utilizing proprietary products and services, including provider networks, care management, prescription benefit management, primary clinic management, benefit administration and stop-loss. The HealthSmart mission is to improve member health, reduce costs and deliver “smarter” healthcare solutions. To learn more about HealthSmart Holdings, Inc. and its related companies, please visit their web site.

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