Use Cases

Predictive healthcare use cases and models, ready to go

Our use cases and pre-built models provide predictive insights to quickly and accurately target your outreach and interventions—and ultimately drive outcomes. Trained across more than 18 million individuals, our ready-to-run use cases and model library represent the most relevant predictive set available today that are focused exclusively on key healthcare business challenges.

Driving results for healthcare business challenges

Our applied AI platform ensures models are tied to critical business use cases, not black box analytical exercises. By creating a holistic profile for each member using non-clinical and clinical data, and our proven predictive models, N1 Health moves the needle on a range of key programs and initiatives, including the detailed examples below – and many, many more.

Example use cases

Increase member engagement through social risk programs

N1 Health improves success rates among hard-to-reach and difficult-to-engage individuals with insights into non-clinical factors that impact risk and engagement. We can:

Expand the pool of members to target.
Improve reach with enhanced contact information.
Improve conversion with “social hooks” for everyone enabling targeted outreach.

Outcomes:

ED spend
PCP office visits

Foundational models:

Social Risk Index
Food Insecurity
Social Isolation
Transportation Access
Unstable Housing

Key data inputs:

Individual-level data (income, employment, education, housing, spending)
Utilization patterns

Increase retention and enrollment—evaluate and minimize Pandemic Health Emergency (PHE) eligibility criteria change impact on member enrollment and retention

N1 Health helps improve member enrollment and retention by providing a clear understanding of everyone’s eligibility and needs. We can:

Develop a social prediction to target prospective members around their greatest needs.
Identify personalized interventions to drive program or product enrollment and engagement.

Outcomes:

Annual Medicaid retention rate
Uninsured population

Foundational models:

Medicaid Eligibility
Household Income
Household Composition (Family Size)

Key data inputs:

State enrollment criteria
Address history
Individual-level data (income, employment, education, housing, spending, contact information)

Close health equity gaps for members

N1 Health helps impact disparities and improve member trust and engagement with the healthcare system. We can:

Generate detailed insights into racial/ethnic disparities on an individual level.
Create a prioritized engagement list with specific interventions.
Identify key health equity metrics and measure success of outreach efforts.

Outcomes:

Equality in health outcomes across racial dimensions

Foundational models:

Race/Ethnicity Model (BISG)
Neighborhood Stress
Area Deprivation Index
Household Income
Household Stress

Key data inputs:

Self-reported race
Self-reported demographics
Neighborhood race distribution
Neighborhood income distribution
Individual-level data (income, employment, education, housing, spending, contact information)

Increase member satisfaction with payer services

N1 Health helps healthcare organizations improve member satisfaction by providing a more complete understanding of CSAT drivers. We can:

Identify members who are most likely to be satisfied or dissatisfied.
Improve response rates by engaging using the communication mode they are most likely to respond to.
Create personalized recommendations for improving engagement and outcomes for everyone.

Outcomes:

CAHPS scoring

Foundational models:

CAHPS Domain Satisfaction
CAHPS Responder
Social Risk Index
Neighborhood Stress
Food Insecurity
Transportation Access

Key data inputs:

Denied claims
Out-of-pocket expenses
Inbound call sentiment
Provider network
Individual-level data (income, employment, education, housing, spending, contact information)

Expand care management engagement and enrollment

N1 Health helps to:

Target members with rising risk across social and clinical risk scores
Enhance care management engagement funnel with targeted outreach on social need and engagement modality preferences
Enroll members in Care Management after engaging with targeted food program

Outcomes:

Call Center Reach Rate
Clinical Program Enrollment
Social Program Enrollment

Foundational models:

Social Risk Index
Engagement Modality
Telephonic Engagement

Key data inputs:

Enhanced Contact Information
Individual Level Data (income, employment, education, housing, spending, contact information, etc.)
Internet Access

Increase efficiency of closing gaps in care

N1 Health helps to:

Optimize outreach resources across all gap closure programs and channels using total predicted value of an individual gap
Address gaps in care by addressing key social barriers to preventive care.

Outcomes:

HEDIS Metrics
Customer Satisfaction (CAHPS)
Social and Clinical Program ROI

Foundational models:

Value-Based Action (Lifetime Value + Next Best Actions)
Social Risk Index
Care Delivery and Routing
Transportation Access
Food Insecurity
Social Isolation

Key data inputs:

Individual Level Data (income, employment, education, housing, spending, contact information, etc.)
Medical Claims
HEDIS Gaps

Reduce member churn—housing stability impact

N1 Health helps to identify members who will churn due to housing instability and provide help to complete redetermination paperwork.

Outcomes:

Annual Medicare retention rate
Annual Medicare retention rate

Foundational models:

Unstable Housing
Neighborhood Stress
Social Risk Index

Key data inputs:

Address history
Individual-level data (income, employment, education, housing, spending, contact information, etc.)

Reduce ED utilization through food access programs

N1 Health helps to predict high-risk members for food insecurity and driving the engagement of food access programs; followed by a secondary action for members to complete PCP visits.

Outcomes:

ED Spend
PCP Office Visits

Foundational models:

Social Risk Index (regionally ED utilization trained)
Care Delivery & Routing
Telephonic Engagement
Food Insecurity

Key data inputs:

Individual Level Data (income, employment, education, housing, spending)
Grocery Locations
Grocery Quality Ratings
Food program accessibility
WalkScore

Engaging unengaged members with payers

N1 Health helps to develop targeted patient personas to address key drivers of health outcomes; build market and program specific patient personas to map individuals to personas to allow for strategic planning and program structure.

Outcomes:

Member satisfaction surveys (CAHPS)
Social program ROI

Foundational models:

Social Risk Index
CMS HCC Score
Neighborhood Stress
Care Delivery and Routing
Food Insecurity
Transportation Access
Unstable Housing

Key data inputs:

Provider access
PCP visit history
Individual-level data (income, employment, education, housing, spending, contact information, etc.)

Outpatient visit capture

N1 Health helps its customers to capture under-documented risk by new and un-engaged targeting members with high social risk; and, engage members on highest social acuity to earn annual wellness visits.

Outcomes:

PCP Office Visits
Appropriate Clinical Documentation

Foundational models:

Social Risk Index
CMS HCC Score
Neighborhood Stress
Care Delivery and Routing
Food Insecurity
Transportation Access
Unstable Housing

Key data inputs:

Individual Level Data (income, employment, education, housing, spending, contact information, etc.)
Provider access
PCP visit history

The power to meet any challenge

N1 Health is flexible enough to quickly build an almost infinite number of use cases and models with our data and technology resources. Our Data Science and Customer Experience Teams can transform the individual predictions it generates into actions that lead to improved outcomes and better results that will directly impact your bottom line.

Start today, achieve results quickly

N1 Health’s AI platform, datasets and models can deliver predictive insights that drive business results in days, not months or years.

Start Now