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High Risk Cost Avoidance - Seniors

Uncovering Opportunities to Reduce Risk and Prevent High-Cost Events Across Your Senior Populations



Research shows that a small percentage of people in a population typically generate the
highest healthcare costs. Those high-cost individuals change from year to year, however,
and the presence of chronic disease or specific health risks is not enough to predict avoidable
future costs.

High Risk Cost Avoidance for Seniors (HRCA-S) is different from typical disease management programs:
We assess your entire senior population for the opportunity to prevent high-cost events. Then,
through highly personalized, proactive outreach to a targeted group of individuals, we
optimize care and avoid adverse health developments.

High Risk Cost Avoidance for Senior Populations

  • Supports informed decision-making and adherence to individuals’ wishes
  • Reduces the cost associated with unwanted or aggressive life-prolonging measures
  • Provides seniors with improved quality of life

Highly Effective Interventions

Clinicians help identify risk factors, develop well-being plans that mitigate risk, provide education and coordinate care. Individuals recently released from the hospital also receive personalized attention and support. The goal is to empower individuals to sustainably improve self-management, medication adherence and appointment adherence. HRCA-S delivers proactive support that optimizes care before adverse developments escalate and generate medical costs.

Predictive Models for Your Population 

Regardless of disease or diagnosis, everyone in your senior population is included in the identification
process. Healthway's proprietary predictive models, built on three decades of scientific research
and experience, identify:
  • Who is most likely to incur high healthcare costs within the next 12 months
  • Who will have avoidable costs
  • Which risks we can address to prevent costs and improve health, such as:
– Evidence that an individual is not taking needed medication
– Indicators of missed doctor appointments or necessary lab tests
– Multiple conditions and risks, with evidence of poor self-management

Through our predictive modeling algorithms and proven intervention techniques, HRCA-S delivers proactive support that optimizes care before adverse developments escalate and generate medical costs. Contact us to learn more.