Althea.ai
Althea.ai
Transforming Value-Based Care with Advanced SaaS Platforms
At Althea.ai, we offer two innovative cloud-based SaaS platforms designed to enhance value-based care: AltheaIQ and CareGem. These platforms are tailored to address specific healthcare needs, focusing on health equity and digital patient engagement, respectively.
AltheaIQ
AltheaIQ
AltheaIQ is dedicated to driving “last mile impact” in clinical and financial outcomes by leveraging Social Determinants of Health (SDoH) analytics and machine learning algorithms.
Our approach involves:
Curating comprehensive SDoH data across the US.
Identifying patient-level SDoH and barriers to equity.
Prioritizing members for targeted interventions.
Continuously reassessing health inequities.
What do we solve ?
What do we solve ?
Improving Member Risk Capture – with SDOH and Clinical inputs
Improving Quality of Care – STARS HEI
Impacting Overall cost of Care – Reduce Medical Cost pmpm
How Do We Solve ?
How Do We Solve ?
- SDOH Risk Attribution at the member level
- A single Health Equity Risk score, backed by 165 SDOH variables, at three levels of aggregation
- Proprietary targeting and segmentation algorithms – to improve outreach and ROI
- Targeted intervention aligned to disease progression and relevant care pathway
- Behavioral analysis to nudge and improve compliance and goal completion at the member level
- Ongoing Refresh of Health Equity Risk score
Our impact
Our impact
The Cornerstones of
Althea’s Solutions
Whole Person Care Analytics:
Integrates clinical, behavioural, and social care to deliver comprehensive whole-person care.
Curated SDoH Dataset:
Offers a robust Social Determinants of Health (SDoH) dataset, sourced from over 25 public and proprietary sources covering the entire United States.
Early Detection & Disease Management:
Utilizes advanced models for early disease detection and effective disease progression management.
End-to-end Health Equity Management:
Partners with Community-Based Organizations (CBOs) to deliver comprehensive health equity management, aiming to reduce the total cost of care.
Core Components of
Althea’s Approach
Integrated with Payer Care Management Programs
Althea supports payer organizations with integrated care management programs, effective health equity initiatives, quality measure enhancements (STARS/HEDIS), and risk adjustment strategies.
Enhanced revenue capture opportunities for Providers
Healthcare providers benefit from Althea’s integrated care management programs, enhanced program effectiveness, value-based care enablement, and optimized revenue management.
Integration with major EHR’s
Althea’s web-based and mobile workflows integrate easily with all major Electronic Health Records (EHRs) systems, featuring single sign-on and patient chart integration to streamline operations.
Proactive Patient Engagement and Co-ordination
Pharmacy benefit management organizations can rely on Althea for market access solutions, pharmacy care management, operations optimization, and effective health equity programs.
Health Equity Solutions for Life Sciences and Pharma
Althea offers health economics and outcome research, clinical trials equity management, real-world equity management, and market access solutions for life sciences and pharmaceutical organizations.
Health Equity Solutions for Pharmacy Benefit Managers
Althea leverages digital technologies to enhance patient engagement and proactive care management, ensuring continuous and coordinated care throughout the patient journey.
