LEVERAGE ACTIONABLE ANALYTICS WITH Patient RISK STRATIFICATION
Lightbeam’s risk stratification engines identify the costliest patients and those most likely to be positively impacted by active care management.
FULLY INTEGRATED, PROVEN RISK MODELS
Our software integrates the following risk stratification methods, providing access to decades of research for your population health initiatives:
- Lightbeam Ability to Impact (ATI): Lightbeam’s proprietary algorithm that identifies patients whose resource utilization is most likely to decrease through active care management
- Johns Hopkins ACG® System:
- Predictive Risk – Est. Cost vs. Avg. Pt. Over Next 12 mo.
- Concurrent Risk – “Resource Utilization Bands” or RUBs
- Likelihood of Hospital Admission: Individual additional factors for Extended Stay, Injury Related, and ICU
- Likelihood of Pt. Being in Top 5% of Spend (Next 12 Mo.)
- Risk of Poor Care Coordination – Identifies potential cost overruns for patients who may be using specialists as PCPs.
- Unexpected Pharmacy Costs
- NYU Avoidable ED: Utilizes a client-configurable set of “Avoidable” and “Non-Avoidable” diagnoses to determine appropriateness of venue.
- Charlson Comorbidity Index: Predicts one-year mortality likelihood for patients with multiple comorbid conditions.
- Hierarchical Condition Coding (HCC): Communicates patient complexity through IDC10 groupers
QUICKLY IDENTIFY HIGH-RISK, HIGH-COST PATIENTS.
LIGHTBEAM’S PATIENT RISK STRATIFICATION CAPABILITIES INCLUDE:

Identifies patients with gaps in their care, relative to evidence-based guidelines, quality measures, or other metrics

Extensive suite of existing protocols and guidelines ready to use out of the box

Predicts modeling on patients with preventable high-cost events

Improves productivity of care managers

Lowers cost of health care by preventing high-cost events
Real-time results from Lightbeam clients

Vanguard Medical Group (VMG) leveraged Lightbeam’s referral management solution and reduced leakage by 75%.
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Lightbeam has worked to help FCHP’s staff build workflows and standardize reporting for its care management program.
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The Clinical Integration Connection HIE by Lightbeam saved a patient suffering from recurring chest pain and fatigue.
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Rio Grande Valley Health Alliance (RGVHA) ACO has generated millions in Medicare savings every year since 2015.
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Kootenai Care Network Closed 57% of GPRO gaps automatically and reduced clinician labor by 12,722 minutes.
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