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Health Horizon Tool Express interest
Health Horizon Suite — Intelligence Layer

What can an entire population tell us?

Horizon Insights aggregates de-identified data from across the Health Horizon suite to reveal what traditional analytics cannot: where populations are heading, not just where they are.

Population health intelligence · Trajectory-based analytics
The problem with current analytics

Healthcare knows what happened.
It rarely knows what's coming.

Most population health platforms are built around disease burden, utilization, and cost. These are important measures — but they are retrospective. They describe the past state of a population. They cannot tell you whether patients are engaged with their own health, whether they understand the risks they carry, or whether a care transition is approaching. Horizon Insights is built around a different question entirely.

Traditional analytics measures
A1C levels and biometrics
Admissions and readmissions
Utilization and cost
Diagnosis codes
Procedure frequency
Horizon Insights measures
Patient readiness and engagement
Risk understanding and values
Health trajectory and compression
Transition readiness
Advance care preparedness
What becomes visible

The invisible data that shapes outcomes

When thousands of patients move through the Health Horizon Conversation Tool, Horizon Compass, or Horizon Navigator, patterns emerge that no claims database can capture. Are 37% of your patients experiencing moderate health span compression? Is hospice referral arriving an estimated six months late for nearly a third of eligible families? Are the most prevalent unaddressed risk factors actually modifiable? These are the questions Horizon Insights is designed to answer — and act on.

Trajectory
Not diagnosis — where is this patient heading?
Readiness
Are patients prepared for what comes next?
Values
What matters most to the people in your care?
Gaps
Where do referrals fail to follow eligibility?
Applications

Built for every organization
in the care continuum

Horizon Insights surfaces different intelligence depending on who is asking — because the right question for a health system administrator is not the same as the right question for a hospice team or a population researcher.

Health systems & ACOs
Identify high-risk populations before utilization spikes. Support Medicare Advantage Star Ratings, preventive engagement benchmarks, and avoidable readmission reduction — grounded in trajectory data, not retrospective claims.
Hospice & palliative care
Understand where referral timing breaks down across populations. Identify educational gaps around eligibility — especially in conditions like dementia where misunderstanding is most common and delays are longest.
Senior living communities
Monitor resident trajectory patterns at the population level. Anticipate care transition needs before they become crises, and align programming with the values residents have actually expressed.
Researchers & academic institutions
Study health behavior, decision-making, ACP engagement, and trajectory change at scale. Horizon Insights data can support validation studies, longitudinal analyses, and the development of new population health metrics.
The suite architecture

Every layer feeds the intelligence above it

Horizon Insights does not stand alone. It is the convergence point of the entire Health Horizon suite — drawing on de-identified, aggregated output from each tool to form a population-level picture that no single tool could produce on its own.

1
Horizon Conversation Tool
Future health trajectory · Health span compression · Modifiable risk
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2
Horizon Pathways
Care navigation · Transition bottlenecks · Service gap mapping
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3
Horizon Navigator
Patient values · ACP readiness · End-of-life priorities
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4
Horizon Compass
Hospice readiness · Family understanding · Referral timing
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↑
Horizon Insights
Population intelligence · Trajectory analytics · Predictive modeling
Future metrics framework

New ways to measure
a population's direction

If the HORIZON Study validation proceeds as envisioned, Horizon Insights could eventually generate entirely new population health metrics — measures that health systems, payers, researchers, and policymakers could actually track over time. These are designed to capture the dimension of health that existing frameworks consistently miss: trajectory.

PHSCR
Population Health Span Compression Rate
Average health span compression across a defined population — a single number that summarizes the collective trajectory burden of a community.
TII
Trajectory Improvement Index
The degree of positive trajectory change observed over time, attributable to targeted interventions — a measure of whether the work is actually moving the line.
ACPS
Advance Care Preparedness Score
A composite measure of ACP readiness and engagement across a population — capturing understanding, documentation, and the alignment of care with expressed values.
CTRI
Care Transition Readiness Index
The likelihood of successful, timely care transitions within a population — surfacing systemic gaps before they become individual crises.
The long-term vision
"We don't just measure outcomes.
We measure trajectories."
The signature idea behind Horizon Insights — and the measurement framework that ties the entire Health Horizon suite together.

Most population health platforms were built to answer one question: how sick are our patients? Horizon Insights is built to answer a different one: where are our patients heading — and what can we do about it now, while there is still time to change the trajectory? That reframing — from state to direction, from utilization to readiness, from retrospective to predictive — is the founding idea of the Health Horizon suite, carried to its logical conclusion at the population level.