Case Study: a large regional healthcare organization improves emerging population risk management with EXL Health

Large Regional Healthcare Organization identifies 6,200 impactable emerging-risk members with EXL

The customer, a large regional healthcare organization, faced the challenge of shifting from reactive to proactive care management. Their existing system could identify members needing immediate care but lacked the ability to proactively pinpoint members likely to become high-risk in the future. To address this, they partnered with EXL Health to leverage its predictive and prescriptive analytics services.

EXL Health implemented a solution using proprietary risk models and social determinants of health data to identify members with emerging risks. They segmented the population to find those who were both impactable and intervenable, providing the client with highly prioritized members and recommended engagement strategies. While the organization is still operationalizing these insights, EXL is monitoring leading indicators like risk and utilization to measure the program's effectiveness and will estimate ROI through an ongoing partnership.