Evolent Health

Evolent Health

Evolent Health

**Winner of the 2019 Health Value Award for Program Provider – Value-Based Provider Care Facilitation**

Question / Intervention Goal / Objectives  

By identifying patients’ risk for avoidable hospitalization and giving providers timely and relevant information to guide the care plan, Evolent’s predictive analytics tool helps practices to reduce all-cause hospital admissions and total spending.  A key factor of the system is its capability to put the latest available evidence at the provider’s disposal, so that it can be applied to care planning. 


Method/ Calculation  

Data collected by the risk identification tool itself includes medical and pharmacy claims, laboratory orders and results, and social/behavioral assessments.  This data guided selection of an intervention and a propensity-score matched control group. Twelve months of pre-intervention data and six months of post-intervention data were included. All-cause   admissions were calculated per 1,000 members; costs were calculated per member per month.  


Findings / Metric/ Outcome/ Savings  

The intervention group had a significantly lower rate of hospital admissions, and of total costs.  



Six months of post-intervention data is relatively little; analyzing 12 months of data may lead to a different, perhaps stronger, result for the intervention group.