NextHealth's predictive analytics platform doubles accuracy in predicting Medicaid patient emergency department utilization

DENVER, March 24, 2015 /PRNewswire/ -- Today, NextHealth Technologies confirmed with client data that their predictive analytics technology platform predicts Medicaid patient emergency department visits more than twice as well as methods based on leading commercial risk grouper results. "Being able to more accurately predict high risk of repeat emergency department use, especially among relatively healthy members, enables Medicaid programs like ours to proactively share information about ER visit alternatives with our members who are most likely to benefit from it," said Kelley Vivian, Community Strategies Director for Community Health Partnership. CHP services members as a part of the Accountable Care Collaborative, Colorado Medicaid's primary health care program.

NextHealth's predictive technology platform applies new predictive analytics algorithms that materially improve traditional analytic methods by using new sources of information more effectively to make more accurate predictions. NextHealth's technology not only considers medical condition and diagnostic codes and patient socio-demographics, but also exploits patterns in individual utilization history to dramatically improve predictions of future use. These patterns and predictors are combined using machine learning algorithms from NextHealth that integrate predictions from state-of-the-art predictive analytics algorithms such as random forest, gradient boosting, support vector machines, and Bayesian predictors.

"These findings help to validate the transformational nature of NextHealth's predictive member risk analysis and engagement technology platform," said NextHealth's CEO, Eric Grossman. Clients are applying the NextHealth predictive analytics technology platform to other use cases including: member retention, exchange risk adjustment, and out of network utilization reduction.

About Community Health Partnership

Community Health Partnership ( is a coalition of health care providers serving the Pikes Peak region whose enduring purpose is to improve the health of the community through collaboration. CHP members know each other well, are open to new ways of working together, and are not afraid to take chances. The coalition is built on a foundation of trust and respect, aligned with mutual values and goals.

About NextHealth

NextHealth Technologies ( provides a transformational analytics platform that enables member level risk identification and engagement to improve health and financial outcomes. NextHealth's SaaS platform incorporates the latest in advanced analytics, behavioral economics, and consumer engagement techniques to predictively identify risk and prescribe personalized member-level actions to improve outcomes. NextHealth's machine learning algorithms and system work 24/7/365 to serve up better and better nudges across multiple programs including emergency department utilization reduction, member retention, and out-of-network utilization reduction.

SOURCE NextHealth Technologies


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