Case Study: OSF HealthCare achieves proactive population health management and cost savings with Cotiviti

OSF healthcare’s approach to population health

OSF Healthcare, a not-for-profit integrated health system, needed to analyze claims trends and proactively reach out to at-risk members to curb overutilization. The largely manual review process (about $11,800 per population review) and heavy IT burden led OSF to select Cotiviti, deploying solutions such as DxCG Risk Analytics and Medical Analytics to automate population stratification and risk measurement.

Cotiviti implemented DxCG Risk Analytics, Medical Analytics and Provider Analytics to provide a 360-degree view of patients, identify high-risk and emerging super-utilizers, and reveal care gaps. The platform automated reviews, reduced physician and IT resource strain, enabled targeted outreach (office visits or nurse calls instead of costly ER visits), and helped OSF quantify program effectiveness while managing increasing ACO risk.

OSF Healthcare