1 in 3 healthcare dollars are wasted.
The research indicates that 37% of patients with major chronic conditions are uncoded. To arrive at this result, data was mined from over 4 million active patients with evidence of major chronic diseases. Aggregated data identifies uncoded patients based on clinical evidence such as lab results, provider notes and medications prescribed. UpShot Health's health analytic and predictive modeling platform allows high-risk patients to be found despite the lack of a coded diagnosis on a claim, or an entry on an electronic health record (EHR) problem list. Based on the analysis, 37% of patients with evidence of diabetes, congestive heart failure, coronary artery disease, hypertension, or dyslipidemia are uncoded for one or more of these conditions. Put another way, about 17% of all patients in a typical medical group are uncoded for at least one major chronic condition. For a medical practice of 5,000 patients, this translates to about 850 patients who are uncoded for one or more of these major chronic conditions.
These are statistics that are never revealed due to the layered and opaque nature of healthcare pricing and delivery. UpShot Health accounts for every service encounter and dollar spent within the health center setting, delivering a high level of service at a fraction of community rates.
