Critique believes that it is essential to have a reliable, reproducible means to measure the current health status of plan participants. What’s important about that? As you measure the health status of participants, you may find health care cost is contained. What’s important about that? The more Critique applies its assessment tool, the more effective case and disease management activities become. The more we measure health related quality-of-life the better we measure the effectiveness of our services. Naturally, you achieve outstanding results as you employ Critique’s best practices and the most advanced methodologies to measure health and quality-of-life. As you review the measures of health status and health related quality-of-lifedescribed below you may realize Critique’s high standard of appropriate methods and measures.
In the belief that sometimes “less is definitely more,” Critique utilizes the Centers for Disease Control’s Health-Related Quality of Life (HRQOL) survey to measure health status and predict risk. This survey is easily completed and can be administered via the Internet, paper and pencil, or through a brief telephonic interview. The answers are imported into Critique’s predictive risk model, to enhance financial and treatment-related information received from other sources.
Validation of the reliability of predicting risk as well as health care costs including the HRQOL is based upon an impressive amount of science and research. Variables generally in the domain of health and wellness include: premature mortality; various symptoms and physiologic states; physical functions; emotional and cognitive functions, and perceptions about health.
Disease management in the past has presented interesting impact measurement challenges. While claims data provides a convenient retrospective view of utilization that contributes to broad-based program planning, they are of little value when assessing the impact of disease on an individual’s physical and mental health or identifying who is likely to benefit most from disease management strategies. Critique employs predictive risk modeling described above to identify plan members at risk for increased cost in the upcoming year. Those plan members are then assigned to a Critique disease management nurse for early intervention.
As Critique controls costs without harm to health, by gathering patient-specific information that predicts risk and identifies health care needs, you may find Critique quantifies the outcomes that matter most to patients. As Critique documents the effectiveness of its medical management services, you may find our methods and tools are state-of-science and cost-effective.