Caradigm and MEDai Align to Help Healthcare Organizations Manage Risk, Optimize Care and Improve Population Health

    Caradigm and MEDai Align to Help Healthcare Organizations Manage Risk,
                 Optimize Care and Improve Population Health

Caradigm to integrate MEDai's industry-leading predictive clinical analytic
solutions with data aggregation and care management solutions

PR Newswire

BELLEVUE, Wash., Oct. 15, 2013

BELLEVUE, Wash., Oct. 15, 2013 /PRNewswire/ --Caradigm announced today it has
signed an agreement with MEDai, a leader in predictive clinical analytic
solutions, designed to give healthcare organizations the comprehensive set of
tools they need to effectively manage risk, optimize care management, and
improve the health outcomes of populations. MEDai is a LexisNexis company.


Under the agreement, Caradigm will enrich its population health solutions with
the predictive clinical analytics capabilities of MEDai's solution, enabling
customers to stratify patient populations according to severity, disease
state, cost or risk profile. This will allow risk-bearing organizations to use
their network of resources to focus care on those who will benefit most,
helping create a positive impact on overall health outcomes and total cost of
care. When coupled with Caradigm® Care Management software, providers can
develop personalized care plans that specify problems, goals and
interventions, and manage patients and conditions through timely interventions
enabled by near real-time, event-based alerts.

"Healthcare organizations taking on risk need sophisticated analytics and
modeling capabilities to help them drive the most effective care programs,"
said Brian Drozdowicz, vice president of Population Health at Caradigm. "The
agreement with MEDai will enable us to offer customers best-of-breed
predictive analytics and risk management tools to drive effective, timely
decisions about the optimal care for patients. We're excited about the power
of this solution to help organizations improve outcomes and reduce costs — and
transition successfully to value-based or accountable care models."

"Combining up-to-date clinical data  with a patient's claims data is essential
to enabling the best decisions about care — and a powerful differentiator of
the Caradigm and MEDai solution," said Peter Edelstein, MD, Chief Medical
Officer, MEDai. "Together, our predictive and analytics tools will give
customers unparalleled insight into patients and populations and make it easy
for them to manage risk."

MEDai's solution uses statistical algorithms to identify and risk-stratify
patients based on a wide range of factors, including: severity of illness,
patient motivation and compliance with evidence-based care guidelines, risk of
inpatient admission or emergency department visit, and the total cost of care
based on the number of conditions, prescriptions and type of care required.

Customers gain the following insight about populations and individual

  oA total risk score, with the ability to change the relative weighting of
    the scores that make up the aggregate score
  oPatient stratification based on risk drivers, i.e., the specific elements
    causing a patient or cohort to be ranked at a certain risk level
  oThe directional trend of the risk drivers for that patient or cohort
    (increasing or decreasing)
  oTrends, e.g., medication adherence, that can be addressed across multiple
  oCosts associated with risk factors and no intervention
  oQuantification of possible savings associated with each intervention

This data is presented within Caradigm Care Management, helping care managers
take the appropriate actions to put patients on track to improving their
health and reducing the cost of care.

Caradigm Care Management was developed in partnership with Geisinger Health
Plan, a leader in population health management widely recognized for its
innovative case management models and pioneering use of incentive-based
wellness programs. Caradigm Care Management helps healthcare organizations
manage the care of populations to improve outcomes and the patient experience
while helping reduce costs.

About Caradigm

Caradigm is a healthcare analytics and population health company dedicated to
helping organizations improve care, reduce costs and manage risk. Caradigm
analytics solutions provide insight into patients, populations and
performance, enabling healthcare organizations to understand their clinical
and financial risk and identify the actions needed to address it. Caradigm
population health solutions enable teams to deliver the appropriate care to
patients through effective coordination and patient engagement, helping to
improve outcomes and financial results. The key to Caradigm analytics and
population health solutions is a rich set of clinical, operational and
financial data delivered to healthcare professionals within their workflows in
near real time. This data asset serves as the foundation for a growing number
of innovative healthcare applications developed by Caradigm and industry
partners, providing rapid incremental value to customers.

About LexisNexis Risk Solutions

LexisNexis Risk Solutions ( is a leader in providing
essential information that helps customers across industries and government
predict, assess and manage risk. Combining cutting-edge technology, unique
data and advanced analytics, Risk Solutions provides products and services
that address evolving client needs in the risk sector while upholding the
highest standards of security and privacy. LexisNexis Risk Solutions is part
of Reed Elsevier, a leading global provider of professional information
solutions across a number of sectors. Our health care solutions assist payers,
providers and integrators with ensuring appropriate access to health care data
and programs, enhancing disease management contact ratios, improving
operational processes, and proactively combating fraud, waste and abuse across
the continuum.

SOURCE Caradigm

Contact: Peggy Fischer, +1 (425) 201-2292,, or
Regina Haas, LexisNexis, +1 (678) 694-3569,
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