A small share of your members are patients on multiple medications for multiple chronic conditions that account for a disproportionate share of your emergency department visits and hospitalizations.
Challenges we help address
These are often the same members showing up in your claims data with uncontrolled hypertension, repeat admissions, or a growing medication list, but no one on their care team has the capacity to look at the full picture.
- Disproportionate ED visits and hospitalizations concentrated in a small, identifiable segment of members
- Limited visibility into what's actually happening at the point of care, across a network of clinics you don't directly manage
- Quality metrics riding on medication management (HEDIS, Medicare Star Ratings) that you have no direct way to influence
- Claims data that flags the risk but offers no built-in mechanism to act on it
How Lodestar fits
You identify the panel by utilization history, by condition, however your priority is, and we take it from there. We build the relationship with each member's clinic, provide comprehensive medication management directly to the patient, and send our recommendations to their care team. We then follow up to confirm the recommended actions were actually taken and feasible.
The result: your highest-risk members on safer regimens that are more likely to work, care teams with a partner for work they lack capacity for, and fewer ED visits and hospitalizations.