Under the Healthy State program, Pfizer will work with the state’s Agency for Health Care Administration to target four chronic medical conditions in the Medicaid population: heart failure, diabetes, asthma and hypertension. The hospital-based disease management program will provide onsite care managers to work with chronically ill patients on a regular basis.
CaseAlert software uses expert-based algorithms and predictive methodology to analyze provider, facility and pharmacy data to identify members who are, or are likely to become, high-risk and/or high-cost patients.
The software combines artificial intelligence technology and clinical expert opinion to enable health care planners to identify and stratify patients needing disease management that traditional methods miss.