Solutions

Powerful Clinical and Business Use Cases for Both Payers and Providers

Understanding population-centric data is critical to creating value-based care and better decision making. It provides a deep perspective of healthcare consumers so that providers, payers, researchers and others in health care can make more informed decisions and close the gaps in unknown data.

Intelligence Solutions for Payers

FOR PAYERS:

Clinical Intelligence Solutions

Manage care, intervene proactively, and gain actionable insights on members across the enterprise.

FOR PAYERS:

Business Intelligence Solutions

Profile potential members, build networks, develop plans for marketing, and drive member recruitment.

Intelligence Solutions for Providers

FOR PROVIDERS:

Clinical Intelligence Solutions

Manage care, intervene proactively, and provide continuity of care.

FOR PROVIDERS:

Business Intelligence Solutions

Profile potential patients, drive value-based care, and discover market insights.

Use Cases & Solutions

NETWORK ADEQUACY & PROVIDER ASSIGNMENT

Support Network Development

Assess members/patients by service line or product type and needs analysis

Identify gaps in care. Locate and recruit specialty support and services

Enable access to care for in-network

Geospatially locate opportunities and existing resources

PLAN EXPANSION & NEW MEMBER RECRUITMENT

Learn Market Potential and Grow Market Share

Map prospective members/ patients, physicians, facilities, and services in market area

Enhance communications and outreach

NEW MEMBER EVALUATION

Calculate CDoH Risks of New Members

Intervene early to prevent high cost encounters and supercharge your HRA with the answers to 700 questions

Engage early to drive health planning and behavioral change

Steer members in-network

Ensure network adequacy

CARE COORDINATION

Manage Care, Identify Rising Risk & Engage Patients

Identify the ticking time bombs before they appear on the radar screen

Segment members by clinical and social need

Develop targeted outreach plans

Reduce unpredicted, high-cost utilization

OUT OF NETWORK MANAGEMENT

Address the Risks that Impact Out-of-Network Utilization

Identify, segment, and locate members by risk

Analyze care access patterns

Improve engagement with communication channel preferences

SERVICE LINE EXPANSION & PATIENT RECRUITMENT

Expand Intelligently

Perform analyses and gain insights to drive strategic service line growth

Inform strategic capital allocation to design facility and network expansion

Grow to accommodate patient needs

Creating deeper insights from deeper data

Source Data

  • 20+ validated 3rd party national datasets
                      +
  • 10 million syndicated survey respondents across every U.S. zip code
                      +
  • 255 million individual profiles
favicon-CF

Up to 184 million individual custom profiles at the record, cohort and community levels

Output Data

  • 125 Health risk scores across 8 categories
  • 26 Engagement & Communication Channel Preference Scores
  • 5000+ Healthcare and healthcare related measures
Gears for Deck Arrow Slide
Business & Clinical Solutions for Payers and Providers

Source Data

  • 20+ validated 3rd party national datasets
                                                 +
  • 10 million syndicated survey respondents across every U.S. zip code
                                                 +
  • 255 million individual profiles
favicon-CF

Up to 184 million individual custom profiles at the record, cohort and community levels

Output Data

  • 125 Health risk scores across 8 categories
  • 26 Engagement & Communication Channel Preference Scores
  • 6000 Healthcare and healthcare related measures
Gears for Deck Arrow Slide

Business & Clinical Solutions for Payers and Providers

Data and Insights Not Available Anywhere Else

Our Data Enables You To Deeply Understand, Influence, and Manage Your Respective Populations For Greater Success.

CentraForce Health uses respondent-level data across every U.S. market to create custom populations. Our sources are self-reported, fully PHI compliant, and span thousands of measures.

More than 10 million locally sampled respondents fuel this data engine, which is then projected onto a database of 255 million actual person/household records. The result is intelligence and insights that give you a unique perspective on how your patient populations live their lives far beyond the point of care.

Whether you’re interested in the overall health of a community you serve or understanding “Diabetic Males with a BMI above 25,” CentraForce Health’s Population has the data you need to increase your business success on interventions, improve patient engagement, and know your populations like never before.

puzzle

What Are You Missing?

Traditional SDoH only give you half of the story.

Our Comprehensive Determinants of Health scale beyond traditional Social Determinants of Health to provide socio-behavioral and social determinants, health behaviors and attitudes, utilization and communication channel preferences — information you can’t get anywhere else.

You’ll find 151 proprietary scores including 125 Comprehensive Determinants of Health risk scores and 26 Engagement & Communication Channel Preference Scores to uncover the answers you need to effectively manage patients, drive revenue, and develop stronger products.

Comprehensive Determinants of Health

smoking icon

Socio-Behavioral Risk Scores

Alcohol Risk
Compliance Risk
Current Depression Risk
Diet Compliance Risk
Diet Risk
Exercise Risk
Isolation Risk
Life Event Risk
Lifestyle Risk
Medication Risk
Self Medication Risk
Sleep Deficiency Risk
Stress Risk
Tobacco Risk
Vaccines – Adult Risk
Well Checkups Risk

 

Alcohol Risk
Compliance Risk
Current Depression Risk
Diet Compliance Risk
Diet Risk
Exercise Risk

Isolation Risk
Life Event Risk
Lifestyle Risk
Medication Risk
Self Medication Risk

Sleep Deficiency Risk
Stress Risk
Tobacco Risk
Vaccines – Adult Risk
Well Checkups Risk

brain gears icon

Attitudinal Risk Scores

Doctor Relationship Risk
Health Informed Risk
Outlook on Health Risk
Outlook on Life Risk
Personality Risk
Physician Attitudes Risk
Prevention Risk
Screening Risk

heart icon

Current Chronic Condition Risk

Current Behavioral Health Risk
Current BMI Risk
Current Cancer
Current Cardiology Risk
Current Chronic Conditions Risk
Current Diabetes Type 2 Risk
Current Gastrointestinal Risk
Current Liver Disease Risk
Current Orthopedic Risk
Current Pulmonary-COPD Risk
Current Stroke Risk

Doctor Relationship Risk
Health Informed Risk
Outlook on Health Risk
Outlook on Life Risk
Personality Risk
Physician Attitudes Risk
Prevention Risk
Screening Risk

Current Behavioral Health Risk
Current BMI Risk
Current Cancer
Current Cardiology Risk
Current Chronic Conditions Risk
Current Diabetes Type 2 Risk
Current Gastrointestinal Risk
Current Liver Disease Risk
Current Orthopedic Risk
Current Pulmonary-COPD Risk
Current Stroke Risk

brain gears icon

Pre-Condition Risk

At Risk for Behavioral Health
At Risk for BMI
At Risk Cancer
At Risk for Cardiology
At Risk for Diabetes
At Risk for Gastrointestinal
At Risk for Liver Disease
At Risk for Orthopedics
At Risk for Pulmonary-COPD
At Risk for Stroke

heart icon

Facility Utilization

Emergency Room
Hospital
Outpatient
Retail Clinic
Surgery Center
Telemedicine
Urgent Care

At Risk for Behavioral Health
At Risk for BMI
At Risk Cancer
At Risk for Cardiology
At Risk for Diabetes
At Risk for Gastrointestinal
At Risk for Liver Disease
At Risk for Orthopedics
At Risk for Pulmonary-COPD
At Risk for Stroke

Emergency Room
Hospital
Outpatient
Retail Clinic
Surgery Center
Telemedicine
Urgent Care

message icon

Social Determinant Risk Score​

Alcohol Access Risk
Ambulatory Care Access Risk
Community Engagement Risk
Community Food Access Risk
Cost of Care Risk
Discrimination Risk
Environmental Cancer Risk
Environmental Respiratory Risk
Fast Food Access Risk
Fitness and Recreation Access Risk
Food Desert Risk
Health Literacy Risk
Higher Education Risk
Hospital and Emergency Care Access Risk
Household Expenses Risk
Hunger Risk
Language Dependency Risk
Low Education Risk
Low Income Risk
Medical Bills Risk
Mental Health Care Access Risk
Parks and Playgrounds Access Risk
Pharmacy Desert Risk
Primary Care Access Risk
Public Healthcare Access Risk
Quality of Care Risk
Social Integration Risk
Spanish Dependent Risk
Support Risk
Support Systems Risk
Tobacco Access Risk
Transportation Access Risk
Transportation Risk
Unemployed Risk
Uninsured Risk
Vocational Training Risk

Alcohol Access Risk
Ambulatory Care Access Risk
Community Engagement Risk
Community Food Access Risk
Cost of Care Risk
Discrimination Risk
Environmental Cancer Risk
Environmental Respiratory Risk
Fast Food Access Risk
Fitness and Recreation Access Risk
Food Desert Risk
Health Literacy Risk

Higher Education Risk
Hospital and Emergency Care Access Risk
Household Expenses Risk
Hunger Risk
Language Dependency Risk
Low Education Risk
Low Income Risk
Medical Bills Risk
Mental Health Care Access Risk
Parks and Playgrounds Access Risk
Pharmacy Desert Risk
Primary Care Access Risk

Public Healthcare Access Risk
Quality of Care Risk
Social Integration Risk
Spanish Dependent Risk
Support Risk
Support Systems Risk
Tobacco Access Risk
Transportation Access Risk
Transportation Risk
Unemployed Risk
Uninsured Risk
Vocational Training Risk

shop icon

Socio-Economic Risk

African American and Low Education Risk
African American and Low-Income Risk
Divorced or Separated Risk
Hispanic and Low Education Risk
Hispanic and Low-Income Risk
Low Income and Unemployed Risk
Spanish Dependent and Low Education Risk
Spanish Dependent and Low-Income Risk
White and Low Education Risk White and Low-Income Risk

 

African American and Low Education Risk
African American and Low-Income Risk
Divorced or Separated Risk
Hispanic and Low Education Risk
Hispanic and Low-Income Risk

Low Income and Unemployed Risk
Spanish Dependent and Low Education Risk
Spanish Dependent and Low-Income Risk
White and Low Education Risk
White and Low-Income Risk

doctor icon

Specialists Utilization

Allergist Cardiologist Chiropractor Dermatologist Diabetes Specialist Endocrinologist ENT Gastroenterologist Gynecologist Neurologist Nurse/PA Nutritionist Oncologist Ophthalmologist Orthopedist Pain Specialist Periodontist Plastic Surgeon Podiatrist Primary Care Psychiatrist Psychologist Pulmonologist Rheumatologist Sports Medicine Surgeon Urologist

Acupuncture
Allergist
Cardiologist
Chiropractor
Dermatologist
Diabetes Specialist
Endocrinologist
ENT
Gastroenterologist
Gynecologist

Hematologist
Neurologist
Nurse/PA
Nutritionist
Obstetrician
Oncologist
Ophthalmologist
Orthopedist
Other Surgeon
Pain Specialist

Periodontist
Plastic Surgeon
Podiatrist
Primary Care
Psychiatrist
Psychologist
Pulmonologist
Rheumatologist
Sports Medicine
Urologist

Engagement & Communication Scores

Better patient engagement with Engagement and Communication Channel Preference Scores

chat icon

Messengers

Friends/Family
Pharmacists
Physicians
Nurses and PA’s
Support Groups

mail icon

Direct Channels

Cellphone
Collateral at Places

  • Collateral at Grocer
  • Collateral at Health Facilities
  • Collateral at Pharmacies

Direct mail
Email
Landline Phone
Mobile Ads
Mobile Health Apps
Text Messaging

Friends/Family
Pharmacists
Physicians
Nurses and PA’s
Support Groups

Cellphone
Collateral at Places

  • Collateral at Grocer
  • Collateral at Health Facilities
  • Collateral at Pharmacies

Direct mail
Email
Landline Phone
Mobile Ads
Mobile Health Apps
Text Messaging

wifi icon

Broad Media Channels

Digital Video
Outdoor – Other Places
Print
Radio
SEM – Search Engine Marketing 
SEO – Search Engine Optimization
Websites

  • Diet or Fitness Websites
  • Health Websites
  • Other Websites

 

Digital Video
Outdoor – Other Places
Print
Radio
SEM – Search Engine Marketing 
SEO – Search Engine Optimization

Social Media
TV
Websites

  • Diet or Fitness Websites
  • Health Websites
  • Other Websites

Ready to Take Control of Your Outcomes?

Call us today to find out how the CentraForce Health Intelligence Platform can dramatically improve your business.