Educerus

Educerus Health operated as a specialized provider of in-home health screening programs tailored for Medicare Advantage plans. The company was founded by Andrew Walsh, who also served as its CEO. Educerus focused on the evaluation and diagnosis of prevalent chronic conditions such as chronic kidney disease (CKD), diabetes, vascular disease, and obesity directly within a patient's home.

The firm's business model was centered on addressing a critical gap in the healthcare system, where undetected chronic conditions in at-risk patient populations lead to significant long-term health issues and substantial revenue losses for Medicare Advantage plans. By deploying specially trained clinicians equipped with unique processes and tools, Educerus provided a service that went beyond standard chart reviews or health risk assessments. This approach enabled the empirical diagnosis of conditions that are often inconsistently evaluated, thereby improving patient quality of life and reducing costs for the healthcare system.

In a significant milestone, Educerus Health was acquired by PopHealthCare in July 2014. The acquisition was a strategic move to combine PopHealthCare's high-risk population care solutions with Educerus Health's clinically-driven, in-home diagnostic capabilities. This integration aimed to create a more effective and efficient model for in-home evaluations and care delivery, ultimately enhancing health outcomes for high-risk populations. The combined entity was positioned to offer a more comprehensive suite of services to their client base of over 30 health plans across the U.S. and Puerto Rico. Keywords: in-home screening, prospective risk adjustment, Medicare Advantage, chronic condition management, in-home diagnostics, population health, healthcare services, clinical evaluation, disease diagnosis, care delivery, health risk assessment, patient screening, kidney disease, diabetes care, vascular disease, obesity screening, healthcare acquisition, Andrew Walsh, PopHealthCare