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CareModel Insights

Place-of-service predictive analytics for health care

CareModel Insights helps health care firms understand site-of-service shifts from higher- to lower-acuity settings and the resulting financial impact. With predictive analytics based on client and market data, CareModel Insights supports forecasting, trend predictions, and strategic planning to drive affordable and convenient health care services.

Provider shifts, predictive analytics

Organizations across the health care sector are struggling to determine site-of-service shifts based on clinical indicators, reimbursement rules, cost of delivery, and capacity and asset availability. But they don’t have the predictive analytics tools they need to assess the highest-value provider shifts, drive clinical behavior change, and monitor performance and opportunity loss. What’s needed now: a solution that takes the guesswork out of decision-making so that health care firms can make the right choices and provide effective, affordable patient care.

CareModel Insights meets this need by analyzing the impact of place-of-service decisions to support strategic and financial planning.

With CareModel Insights, you can:

  • Project volume shifts across your continuum of care
  • Analyze market and health care claims data—identifying services that are shifting across hospitals, ambulatory settings, clinics, and virtual or remote environments
  • Estimate the financial impact of place-of-service shifts—including the impact of government and commercial health plans shifting contracts to reduce reimbursement for higher-acuity sittings
  • Support planning to succeed in a lower-reimbursement environment
  • Gain insight into asset efficiency to support strategic planning efforts
  • Accelerate speed to value with predictive analytics that streamline decision-making
  • Leverage market insights to determine how, and how quickly, services are shifting across the continuum, in markets across the country
  • Make informed decisions around capital expenditures, including facilities and technologies

Smart solutions for site-of-service shifts

CareModel Insights combines Deloitte’s deep health care experience with predictive analytics to inform decision-making in the following areas:

Identify first movers Understand long-term shifts Assess financial impact and address pace Evaluate access and asset sufficiency Forecast investments needed
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Identify first movers

Questions answered:


  • What services must move due to reimbursement changes from Centers for Medicare and Medicaid Services (CMS) or commercial health plans?
  • Where should I start to engage my clinicians?
  • What services have already shifted in some markets in the United States?
  • Do I have opportunities to shape the market and improve margin through proactive place-of-service shifts?

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Understand long-term shifts

Questions answered:


  • What services are likely to shift over the next 10 years?
  • How quickly are those services likely to shift based on market observations?

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Assess financial impact and address pace

Questions answered:


  • What portion of my revenue and margin is changing or at risk due to shifting services?
  • How will reimbursements and margin be affected when I shift the site of clinical services?
  • What uplift opportunity is available if I lead the market in addressing ambulatory demand?

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Evaluate access and asset sufficiency

Questions answered:


  • Based on my existing assets, what is my capacity utilization across the continuum today?
  • What does tomorrow’s utilization look like based on projections, and what gaps will I have?
  • Can I better manage access by shifting some services to different sites of care?

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Forecast investments needed

Questions answered:


  • What capability investments are needed to enable future operating models?
  • What asset investments are needed to close the projected capacity gap for the future?

Let’s talk

Looking for the insight to help your organization make better and faster decisions about site-of-service shifts? Please contact us.

Get in touch

Scott Bonin

Scott Bonin

Deloitte Transactions and Business Analytics LLP

+ 1 281 989 2758

Scott Bonin is a Principal in Deloitte Risk & Financial Advisory's Health Care Advisory practice. He has more than 20 years of experience in the health care industry, including 10 years working for ac... More

Dr. Randolph Gordon, MD, MPH

Dr. Randolph Gordon, MD, MPH

Managing Director | Deloitte Consulting LLP

214 604 9767

Dr. Randolph Gordon’s career has focused on improving health outcomes and a population’s health, having served as a practicing primary care physician, the health commissioner for the Commonwealth of V... More

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