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facilitate change, increase engagement, improve quality, and lower costs


Combining World-Class Informatics and Real-World Experience to Drive Meaningful Change


Identifying data that can meaningfully drive process and program improvements requires deep experience, an innate understanding of analytics, and access to the nation’s largest pool of current and conformed healthcare claims data. Blue Health Intelligence’s (BHI) analytic consultants can quickly sort through the “noise” and determine appropriate actions you can take to optimize performance, reduce costs, and deliver better care.

BHI's experts uniquely solve clinical and business problems, and develop long-term strategies for:

  • Health plans, providers, and employers
  • Suppliers, such as medical device manufacturers
  • Professional service firms
  • Academics and researchers
  • Government agencies and regulatory bodies

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BHI’s analytic consultants and data scientists are multi-degreed professionals with years of combined healthcare experience spanning analytics, clinical practice, epidemiology, statistics, employer consulting, benefits support, predictive modeling, and financial and business analysis.

PREDICTIVE AND PRESCRIPTIVE ANALYTICS FOR HIGH-COST CLAIMANTS

Recommending the most meaningful interventions for members

According to a national survey of employer-sponsored health plans, more than 77% of U.S. employers with 500 or more employees said managing the care of HiCCs was their top priority. Given the billions of dollars the healthcare system is spending on an escalating number of HiCCs, Blue Health Intelligence® (BHI®) has developed advanced predictive and prescriptive solutions. These are part of our risk identification and stratification platform that helps healthcare stakeholders reduce costs, improve quality, and retain key customers.


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We use BHI because it gives us insights into best-in-class performance that we would not normally see on our own. Having local, regional, and national comparisons are a must.

Senior Vice President/Chief Marketing Officer, Mid-Sized Regional Health Plan

CUSTOM BENCHMARKING

Opportunities identified to opportunities realized

Healthcare reform and challenging economic times are driving health plans, employers, brokers, and providers to find better ways to monitor and improve their financial and clinical performance. BHI's comparative insights enable healthcare stakeholders to lower costs, understand quality drivers, improve efficiency, and create innovative solutions.

Only BHI’s unique access to the most comprehensive healthcare database in the U.S.* provides the necessary depth and breadth of demographic, clinical, and financial information required to make reliable niche comparisons across a wide range of custom dimensions.

HEALTHCARE WASTE REDUCTION

Delivering the right care, in the right place

Almost $1 of every $3 spent in healthcare is wasted on services that have little or no clinical benefit, are potentially harmful, or are delivered in unnecessary high-cost settings. BHI identifies how eliminating low-value care and making site-of-service changes for specific populations reduces healthcare waste for plans, providers, employers, and brokers.

Working with BHI, health plan leaders can easily compare individual accounts against national benchmarks and track relevant measures over time. Our proprietary predictive and prescriptive models accurately predict future impacts and provide intervention recommendations for optimizing site of service and reducing low-value care.

 


PROVIDER NETWORK OPTIMIZATION

Better intelligence to build better networks

More and more health plans and employers are turning to high-performing narrow networks to improve healthcare quality. In fact, according to a recent National Business Group on Health® survey, more than 62% of all employers have contracted or plan to contract with Centers of Excellence (COEs) for their employees’ healthcare benefits.

BHI's provider network optimization analytics ensure that health plan leaders can identify the lowest-cost, highest-quality provider networks for their members, employees, and beneficiaries.


single source of truth

BHI’s common data platform contains information from more than 19 billion healthcare claims, all submitted in a uniform way to maintain data integrity and eliminate bias in decision-making. Our analytic products, proprietary methodologies, and experienced consultants all leverage this single source of truth to help healthcare organizations optimize performance, improve quality, and lower costs. At BHI, there are no black boxes; our clients understand exactly how we use data to uncover insights and recommend actions.