If you knew today what your health status would be tomorrow and you could change it for the better, would you behave differently? That's the idea for both individuals and health care organizations that use the newest predictive modeling solution designed specifically for patients and members. The patent-pending Patient Disease Index (PDI)^SM determines how likely it is that an individual with one health problem, such as high blood pressure, will develop a related condition such as cardiac disease. With such knowledge, health care organizations can empower patients to improve their health, while simultaneously changing the way they do business by offering key individuals very specific information.

PDI is a unique co-morbidity segmentation model that offers health care organizations more information for health and disease management as well as a superior segmentation method for patient/member communications than was previously available. CPM developed the PDI using millions of health care encounters, co-morbidity factors and disease states. Applied to a patient/member database, the PDI provides a disease management score for individuals based on their current health status.

The PDI leverages the same patent pending artificial intelligence methodology as CPM's patent-pending Consumer Healthcare Utilization Index (CHUI)^SM segmentation system. CHUI is a scoring system for use with non-patient data that predicts the likelihood of each individual to require specific services or products. It is based on sophisticated mathematical formulas and 20 million health care encounters. CHUI provides scores in the major diagnostic categories (MDC), diagnostic related groups (DRG) and ICD-9 groups. The PDI model is similar but is specifically for patient/member data. With the advent of PDI, health care organizations now have two specific segmentation systems for distinct data groups-CHUI for non-patients/non-members and PDI for patients/members.

Predictive segmentation is a significant departure from the various geographical and demographic segmentation systems health care strategists have used in the past to better understand their markets. Predictive segmentation not only makes your data analysis quicker and more meaningful, it is more profitable.

Studies have proven that while predictive segmentation is twice as effective as cluster and demographic selection methods PDI is nearly double that of CHUI.

The following chart illustrates the technology and revenue comparison among the most basic random audience selection to the most sophisticated patient predictive modeling. The example is based on the following information:

As graphed below, the cardiology charge results were about the same for the demographic or cluster methods of market segmentation, and nearly double that with CHUI. PDI would be twice as good as CHUI and four times as effective as the demographic or cluster methods.

Payers can use these modeling systems for policy pricing and risk management. Combining this information with CPM event driven communications systems, payers can tap the PDI to develop more personalized disease management programs and to further reduce risk. It has been proven that personalized messages of this type improve compliance and disease management by approximately 50 percent.

"The Patient Disease Index gives organizations the ability to assess their patients' health pathway, determine possible outcomes and to design more strategic programs aimed at improving health and lessening disease complications," said John Hallick, CPM president and CEO. "Another use is as background for relevant individual messages, which are less expensive than mass marketing and more likely to be read and acted upon," he said. Using the PDI to write and send such information is HIPAA compliant because it falls under case management, care coordination or treatment.

PDI removes the guess work from strategic planning and allows providers and payers to do a more effective job of improving disease prevention and management, driving service line volume, targeting health information and education campaigns. For more information, read the white paper, "Changing Healthcare with the Power of Predictive Segmentation," in the Press Room at www.cpm.com or contact us at 1-800-332-2631, ext. 221 or marketing@cpm.com.