A different question from who is acute and costly today
A high-cost, high acuity list shows where money has already gone. It does not show everyone whose condition is progressing or where a timely response may still help. Visión looks beyond current state to identify people whose clinical course may be changing.
Visión predicts clinical risk over a defined horizon and recommends a response for clinical review. Prediction, the decision to intervene, and the result are evaluated separately.
Bending the Acuity Curve
The Visión publication describes a retrospective analysis of patients whose disease trajectories and subsequent costs diverged despite similar initial risk classification.
Retrospective analysis, not evidence that an intervention achieved projected savings.
What Visión sees
- Clinical deterioration Predict progression in heart disease, diabetes, chronic kidney disease, and COPD through the Disease Progression Index.
- The personalized care journey Bring each person's clinical and behavioral health needs, relevant social and demographic context, life circumstances, and barriers to care into the plan for their care.
- The intervention window See when a person's course can still change, and when that window is closing.
- The recommended response Recommend a response for clinical review, informed by predicted disease progression, the person's needs, and available care options.
- Care options that fit Identify care options suited to each person's condition and needs.
Put care management dollars where they change outcomes.
Care coordination and case management programs often reach people chosen for their cost rather than their chance of benefit. Visión aims those programs at the people and moments where they can make a difference.
Reaching someone is not the same as helping them.
Contacting a member, completing an intervention, and improving an outcome are different events and should be evaluated separately. Difficulty reaching someone is not evidence that they cannot benefit.
Care teams should use available information about a person's circumstances, preferences, and barriers when planning outreach and follow-up. Unsuccessful contact should prompt review of those barriers, not an automatic conclusion about the value of helping.
Prediction informs the response. It does not replace judgment.
A risk signal shows a team where to look more closely. Choosing what to do also takes clinical appropriateness, the person's preferences, and the response that's actually available. Visión recommends. Your clinicians decide.
Start with a defined population and clinical question
We'll discuss the outcome you need to understand, the population you serve, the available data, and how the output enters your workflow. The scope will specify the model horizon, intended use, validation requirements, and clinical owner.
Discuss Visión