Pathways Engine and Care Pathways

Carenet Health is committed to providing truly personalized health management support services that help drive the most appropriate and impactful interventions for every member and every population. In order to have maximum impact, it is important to target the most appropriate members based on their condition and health history, as well as their willingness to change their behavior. Our approach goes further. We focus on a whole-person, long-term view of the person’s healthcare journey.

We identify the members to target by engaging the Pathways Engine, our predictive analytics and machine learning platform. Our Pathways Engine utilizes over 600 data points to ensure we select the most appropriate members to target. We combine raw healthcare data–including medical and prescription claims, health risk assessments, biometric screenings and electronic medical record data–with additional high-value data assets that provide insight into healthcare access, health literacy and other social determinants of health (SDOH).

This has enabled us to develop comprehensive profiles with up to 1,500 clinically relevant facts for every individual in a population. The result is a deeper understanding of each person’s clinical needs, opportunities, risks, likely behaviors and receptivity to change.