Case Study: Health Plan Reduces Avoidable Emergency Department Visits

Learn how we support our clients to understand emergency department (ED) utilization toward improved total cost of care.

Patients who frequently visit the ED often report the same complaints. Not only is ED care for a chronic condition more expensive than care for the issue in a physician’s office, but repetitive trips to the ED often mean redundant testing and even avoidable hospital admissions.

Advanced analytics that identify the factors among patients who use the ED as their default provider can trigger interventions for routine, multidisciplinary care management to control total cost of care for high-cost and high-risk patient groups.

Gray Matter Analytics’ solutions for avoidable ED visits include:

• Configuration of identified ED utilization and cost
  metrics​
• Unit testing and validation of metric scores and
  their impact​