Geneia’s Theon® Platform Helps Health Plan Reduce Claims Costs by Two Percent | Geneia

Geneia’s Theon® Platform Helps Health Plan Reduce Claims Costs by Two Percent

July 13, 2016

Harrisburg, PAGeneia, an analytics and technology leader in transforming healthcare delivery, revealed the success a regional health plan has had using its Theon® advanced analytics platform.  Among the most significant achievements, the health plan:

  • Improved outcomes and member satisfaction within its accountable care arrangements and risk-sharing contracts,

Key metrics: a reduction in inpatient admissions by 7.2 percent and readmissions by 14.8 percent for Medicare plan customers and in emergency department visits by more than 8 percent for employer group and Medicare plan customers while at the same time exceeding the regional average for Healthcare Effectiveness Data and Information Set (HEDIS [1]) measures for some of the leading chronic diseases.

  • Realized approximately a two percent reduction in claims expense as the result of leveraging the Theon® platform to take a holistic approach to population health management beyond its accountable care arrangements, and
  • Saved millions by sun-setting legacy software and support contracts.

Download the health plan case study.

Geneia specializes in the development of advanced clinical, analytics, and technical solutions for healthcare transformation. Our team of physicians, nurses, technologists, analytics experts, and business professionals have created a suite of solutions that enable health plans, hospitals and employers to better understand, evaluate and manage the health of their populations. Using our advanced analytics platform, remote patient monitoring tool, and education and research institute, we work with healthcare organizations to improve outcomes, lower costs and restore the Joy of Medicine. The company has offices in Harrisburg, PA and Manchester, NH. To learn more, visit or connect with us Twitter and LinkedIn.

[1] HEDIS is a comprehensive tool used by most health plans to measure performance on important aspects of care and service.