Company type | Private |
---|---|
Industry | Population health |
Founded | 1997 |
Founder | George Bennett and Chris McKown |
Headquarters | Bedford, New Hampshire, USA |
Products | Chronic Care Management Nurse Advice Line Medication Adherence Wellness and Lifestyle Support Shared Decision Making |
Website | www.healthdialog.com |
Health Dialog is an American company providing personalized population health services to health plans, providers, employers and pharmaceutical manufacturers. The company focuses on providing tools and services to improve quality of care and reduce healthcare costs. [1] It was part of the Rite Aid Corporation until it was acquired by Carenet Health in May 2024. [2] [3]
The company has offered population health services since 1997. It provides multi-channel health coaching with registered nurses who are licensed to practice in all 50 states, D.C., and Guam. [4] The company holds accreditations from the URAC, a non-profit that certifies medical service organizations. [5] [6]
Health Dialog was founded by entrepreneurs George Bennett and Chris McKown in 1997. [7] [8] [9] The entrepreneurs established the company with the purpose of providing patients with decision aids and improving how healthcare providers manage chronic illness. [9]
The venture was inspired by Dr. John Wennberg, an American healthcare researcher, and his work documenting how medical treatment patterns can affect the cost of healthcare. [10] [11] Sources suggest that the Dartmouth professor’s research influenced U.S. healthcare policy and reform; Wennberg helped government policymakers create a research model called the Patient Outcomes and Research Team (PORTs); this led Congress to integrate the program into its organization, the Agency for Health Care Policy and Research (AHCPR) designed to make healthcare more accessible and safer. [9] [12] [13] After PORTs and the AHCPR were established, Wennberg went on to create the Foundation for Informed Medical Decision Making (FIMDM), a non-profit medical education and research organization that informed patients of their treatment choices. [9] [10] [14] In 1995, the AHCPR was downsized by Republicans in Congress looking to curb government overreach. This created a lack of government funding for programs like FIMDM, forcing the organization to seek financing elsewhere. [9] [11] [15] Recognizing the potential to implement Wennberg’s findings in a way that would benefit patients, Bennett and McKown created Health Dialog, a for-profit company, to provide customers with informed medical decisions. [7] [8] [9] [11]
The company has changed hands throughout its history. In 2007, Health Dialog was acquired by Bupa, an international healthcare group, until it was purchased by the Rite Aid Corporation in 2014. [16] [17] [18] Currently, the company is part of Carenet Health, which delivers telephonic and online support to customers while also utilizing predictive analytics to suggest opportunities for lower-cost treatments. [8] [19]
Health Dialog employs licensed health coaches to provide population health management services. [1] The company uses its clinical knowledge, plus a variety of tools and resources, to support the needs of all populations in order to evaluate and then guide members to an improved health. [20] [21]
Health Dialog's Pathways Engine, uses predictive analytics and machine learning to identify opportunities for health management and cost reduction. [3] The company uses analytics to combine clinical and non-clinical data in order to capture a number of factors that can influence health status and healthcare decisions. This ranges from claims, health risk assessment responses and biometric values to census information, consumer data assets (to assess purchasing capabilities and behaviors), social determinants of health (SDOH), household composition, health attitudes and communication preferences. [3] [22] [23]
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy.
WebMD is an American corporation which publishes online news and information about human health and well-being. The WebMD website also includes information about drugs and is an important healthcare information website and the most popular consumer-oriented health site.
The Agency for Healthcare Research and Quality is one of twelve agencies within the United States Department of Health and Human Services (HHS). The agency is headquartered in North Bethesda, Maryland, a suburb of Washington, D.C.. It was established as the Agency for Health Care Policy and Research (AHCPR) in 1989 as a constituent unit of the Public Health Service (PHS) to enhance the quality, appropriateness, and effectiveness of health care services and access to care by conducting and supporting research, demonstration projects, and evaluations; developing guidelines; and disseminating information on health care services and delivery systems.
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
A patient safety organization (PSO) is a group, institution, or association that improves medical care by reducing medical errors. Common functions of patient safety organizations are data collection, analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides health care providers in the U.S. privilege and confidentiality protections for efforts to improve patient safety and the quality of patient care delivery
The Clinical Practice Research Datalink (CPRD) is an observational and interventional research service that operates as part of the Department of Health and Social Care. It is jointly funded by the National Institute for Health and Care Research (NIHR) and the Medicines and Healthcare products Regulatory Agency (MHRA). CPRD is working closely with the extensive primary care, topic specific and comprehensive NIHR research networks and with NHS Digital.
Kevin Kimberlin is chairman of Spencer Trask & Co., a technology firm. Kimberlin's career includes work with Jonas Salk, Walter Gilbert, John Wennberg and Robert Langer.
John E. "Jack" Wennberg was an American healthcare researcher who was a pioneer of unwarranted variation in the healthcare industry. In four decades of work, Wennberg has documented the geographic variation in the healthcare that patients receive in the United States. In 1988, he founded the Center for the Evaluative Clinical Sciences at Dartmouth Medical School to address that unwarranted variation in healthcare.
Unwarranted variation in health care service delivery refers to medical practice pattern variation that cannot be explained by illness, medical need, or the dictates of evidence-based medicine. It is one of the causes of low value care often ignored by health systems.
The philosophy of healthcare is the study of the ethics, processes, and people which constitute the maintenance of health for human beings. For the most part, however, the philosophy of healthcare is best approached as an indelible component of human social structures. That is, the societal institution of healthcare can be seen as a necessary phenomenon of human civilization whereby an individual continually seeks to improve, mend, and alter the overall nature and quality of their life. This perennial concern is especially prominent in modern political liberalism, wherein health has been understood as the foundational good necessary for public life.
The Dartmouth Institute for Health Policy and Clinical Practice (TDI) has garnered significant accomplishments since its inception. Established in 1988 by John Wennberg as the Center for the Evaluative Clinical Sciences (CECS) and later reorganized in 2007 to its current form as TDI, the institute has made substantial strides in the realms of healthcare education, research, and policy
Outcomes research is a branch of public health research which studies the end results of the structure and processes of the health care system on the health and well-being of patients and populations. According to one medical outcomes and guidelines source book - 1996, Outcomes research includes health services research that focuses on identifying variations in medical procedures and associated health outcomes. Though listed as a synonym for the National Library of Medicine MeSH term "Outcome Assessment ", outcomes research may refer to both health services research and healthcare outcomes assessment, which aims at health technology assessment, decision making, and policy analysis through systematic evaluation of quality of care, access, and effectiveness.
Comparative effectiveness research (CER) is the direct comparison of existing health care interventions to determine which work best for which patients and which pose the greatest benefits and harms. The core question of comparative effectiveness research is which treatment works best, for whom, and under what circumstances. Engaging various stakeholders in this process, while difficult, makes research more applicable through providing information that improves patient decision making.
Decision aids are interventions or tools designed to facilitate shared decision making and patient participation in health care decisions.
Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. Coverage varies widely across the population, with certain groups, such as the elderly and low-income individuals, receiving more comprehensive care through government programs such as Medicaid and Medicare.
Spencer Trask & Co. is an American company that was founded in 1881 by Spencer Trask and George Foster Peabody as an investment firm. The company is headquartered in Greenwich, Connecticut, and focuses on funding early-stage ventures in technology, healthcare, and science.
Unnecessary health care is health care provided with a higher volume or cost than is appropriate. In the United States, where health care costs are the highest as a percentage of GDP, overuse was the predominant factor in its expense, accounting for about a third of its health care spending in 2012.
Artificial intelligence in healthcare is the application of artificial intelligence (AI) to analyze and understand complex medical and healthcare data. In some cases, it can exceed or augment human capabilities by providing better or faster ways to diagnose, treat, or prevent disease.
Elliott S. Fisher is a health policy researcher and advocate for improving health system performance in the United States. He helped develop the concept of accountable care organizations and championed their adoption by Medicare. The development of the Affordable Care Act was influenced by his research on disparities in healthcare spending and utilization across the United States. He has strongly supported a rapid transition from fee-for-service to pay-for-performance models in the U.S. healthcare industry. He is a tenured faculty member at Dartmouth College, where he teaches in the Masters in Public Health program.
Digital medicine refers to the application of advanced digital technologies, such as artificial intelligence, machine learning, and big data analytics, to improve patient outcomes and healthcare delivery. It involves the integration of technology and medicine to facilitate the creation, storage, analysis, and dissemination of health information, with the aim of enhancing clinical decision-making, improving patient care, and reducing costs.