Dear Jeff, Warren & Jamie: I recently met my ex-boss from PepsiCo for lunch. She was the vice president of Supply Chain before she took early retirement. After our initial family updates, her first question to me was, “What does
Dear Jeff Bezos
Is HMS Holdings following the Cisco strategy?
About 3 years ago, HMS would describe itself as a provider of cost containment services to government and private healthcare payers. HMS specialized in coordination of benefits services and revenue integrity solutions. Their main value propositions revolved around preventing future
Predictive Insights from a State of Mental Health Analysis of a Typical Exchange Population
At Vitreos, we know there is a lot of opportunity in reducing costs in multiple areas of healthcare spend. We have experience in identifying ‘Rising Risk’ members for avoidable emergent events for primary care, oncology-related post-chemo avoidable ER visits, and
Is Enterprise Analytics Software a Dying Delivery Model For AI-Based Predictive Insights?
I recently read the Harvard Business Review article To Survive, Health Care Data Providers Need to Stop Selling Data (read that here). Harsha Madannavar, Todd Clark, and Joseph Johnson, the authors of this article, claim: “Most data-driven healthcare IT (HCIT)
Predictonomics – Insights from Years of Experience in Healthcare Predictive Analytics
Remember the book Freakonomics? Authors Steven Levitt and Stephen Dubner chronicled very interesting insights revealed by microeconomic researchers; insights that macroeconomics would not necessarily identify. The book went on to be an international best-seller and was followed up by a
How do you measure the ROI of your population health AI-driven predictive models?
I want to illustrate my point by discussing the story of a CEO of a Medicare Advantage Plan with 10,000 members. This CEO is well known in the industry for his forward-thinking vision, capacity for risk-taking, and commitment to innovation.
The Top 4 Reasons Your Digital Member Engagement Solution Isn’t Working
At VitreosHealth, we launched our digital outreach solution in June of 2017. In that time, we’ve really learned what executives are looking for in a member engagement solution. Moreover, we’ve learned which attributes make a successful digital outreach program! Do
An Open Letter to Every Healthcare CEO
Dear Healthcare CEO, It is my belief that a strategic partnership with an AI-driven Predictive Analytics vendor can bridge the gap between your aspirations and results quickly. You are probably facing enormous uncertainty in the marketplace and feeling the
Payers are Hemorrhaging Money – Can Predictive Analytics Stop the Bleeding?
Oscar Health Insurance burst on the payer market in July 2013 and by April 2015 the company was valued at 1.5 billion dollars. However, in March of this year, Oscar revealed it lost over 100 million dollars last year.While the news
What Quality Measures Get Wrong – and How to Make Them Right
Healthcare is continuing its, somewhat painful, evolution from volume-based to value-based care. As it does, government programs, like Medicare, and private insurance companies increasingly use “quality measures” to evaluate a physician’s performance level. However, since everyone seems to have a