New Accolade Total Care Guides People to the Best Providers and Supports Them at Every Stage of Care to Improve Health Outcomes and Reduce Employer Health Care Costs

by | Aug 8, 2019 | Portfolio News

Accolade, a provider of personalized advocacy solutions for employers, today announced a new solution that guides employees and their dependents (“members”) to the highest-performing doctors and other health care providers. Enabled by the company’s acquisition of MD Insider, Accolade Total Care combines data-driven physician quality insights with cost transparency to ensure that members have the best health outcomes while also reducing costs for them and their employers.

“The health care consumer needs a fundamentally new experience—one that’s transparent, efficient, and personalized so they can get precise, high-quality care every time,” said Accolade CEO Rajeev Singh. “It starts with selecting top-notch doctors—both primary care physicians and specialists, whether an oncologist, surgeon, behavioral health provider, or any other. Then each person’s care must be coordinated to avoid errors and inefficiency, which is especially challenging for those managing one or more conditions. Accolade is delivering on both fronts by bringing together incredible data science on provider performance and experienced nurses who coordinate care in a trusted, personalized way for each person and their family.”

Accolade Total Care provides extensive intelligence on provider quality and cost to members as they conduct their own provider searches, and to the Accolade Health Assistant and nurse representatives supporting them when they need help. This intelligence, gained through the company’s acquisition of MD Insider, enables Accolade members and nurses to use an intelligent physician platform to analyze physician quality based on a wide range of factors, including diagnosis, procedure and condition-specific clinical experience, network status, education, and risk-adjusted outcome metrics such as complications, readmission rates, and length of stay.

After the member selects the best doctor for them, an Accolade nurse will be able to schedule appointments, educate the member and prepare them for visits, follow up after each visit, and provide clinical guidance and support. Members can also conduct their own provider quality and cost searches through the Accolade mobile app or online portal, and schedule appointments in the same place. Companies using Accolade Total Care alongside Accolade Premier will receive additional provider services.

Individuals managing two or more chronic conditions will see up to 11 doctors and specialists in one year, creating a fragmented experience that can result in unnecessary tests, gaps in care, and up to 76 percent higher medical costs. Accolade puts its members on a different path, not just by finding the best doctors for their unique conditions but also by supporting the individual and helping coordinate care at every stage of health.

Accolade nurses can also help members’ primary care physicians select the best specialists for their patients, and educate and support members before, during, and after a care event. Accolade’s 360-degree view of the member allows nurses to fill in critical gaps for doctors about each member’s life context and social determinants of health, which play a significant role in health outcomes.

With the acquisition of MD Insider, Accolade has gained access to a world-class machine learning platform that produces experiential and performance insights on millions of providers across the health care system. MD Insider’s team has developed a platform that ingests and enriches huge volumes of the latest performance data about physicians. Analyzing this data, the platform algorithmically identifies key physician performance insights in areas of experience and quality, which enables proprietary matching of patients with the right doctors.

“Physician performance has a material impact on the quality, experience, and cost of health care,” said MD Insider CEO Eric Wilson. “We’re excited to join the Accolade team and see the power of our provider data insight put into the hands of millions of individuals, their families, and Accolade nurses.

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