**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.
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.