Ideas for and from Healthcare Leaders: ACO | PCMH | Payer | Hospital
The availability of millions of patient records contained in different healthcare data sources such as claims, EMR (electronic medical records), self-reported surveys, along with consumer data on social determinants has made it possible to reveal interesting insights and predict future
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
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
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
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)
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
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.
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
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
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
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
What is Dark Data? Gartner, the leading industry analysts, define dark data as the information organizations collect, process, and store during regular business activities, but generally fail to use for other purposes. According to IDC Health Insights, up to 90 percent of