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Accurately predict members who are high-risk and most in need of support following an inpatient event.
Nascate's Social-Complexity Index (S-CI) scores a member based on their likelihood of having an inpatient readmission(s) and ED visit(s) in the six months following an inpatient event.
Nascate SCI score is determined by looking at a person’s social complexity and treatment complexity. Members with high SCI scores present risk in both areas.
Target actions: provide additional support following discharge (direct their care, strengthen member’s relationship with provider).
Opportunity in Mitigating Post-Acute Care Risk with S-CI
MA Population with Inpatient Events
24% Members (11K)
Scored HIGH on Nascate's S-CI Index
That makes person’s cost =
to average discharged patient
Average savings per high-scoring SCI member
Gap in cost for these poorly connected members, compared to members with strong connection