Benchmarking data from Blue Health Intelligence® (BHI®) provided independent verification that the Spine Team Texas (STT) approach to treating low back pain resulted in lower costs for insurers and employers.
Analytics-based reporting solution takes the fast track to deployment
Undeterred by a tight development schedule, complex user needs, and a pandemic that brought shutdowns and remote work, Blue Cross Blue Shield of Michigan and BHI’s Whyzen Analytics team successfully replaced a legacy data reporting platform for Blue Cross’ agents, brokers, and consultants in just four months. The new analytics-driven solution, Scheduler for Agent Reporting, or SAR, benefited from the …
BHI claims data is helping Concert Genetics connect a much-needed genetic health information network
Combining its genomic data with de-identified claims data from BHI has helped Concert Genetics shine a bright light on unnecessary coding variations and price disparities in the genetic health information network. The demand for genetic testing is dynamic and difficult for payers to discern. Using the BHI claims data along with their own data, Concert Genetics watches trends and helps …
How Population Advyzer helped three health plans achieve significant ROI in risk adjustment
Population Advyzer was employed by three health plans to help improve their risk score accuracy and ensure reimbursement reflected the actual risks within their ACA and MA populations. Using the advanced analytics, predictive models, machine learning, and clinical logic within Population Advyzer, plans were able to uncover the most impactful opportunities to resolve coding discrepancies, close care gaps, and maximize …
Best-in-class data, combined with machine learning, provides revolutionary insight into chronic disease management
Rich claims data from Blue Health Intelligence® (BHI®) made it possible for Decode Health to create comprehensive models that detect patients with undiagnosed or misdiagnosed disease and predict individuals who will likely experience the highest healthcare spend.
Data supports therapy provider’s claims of lower costs, higher quality
Airrosti wanted to expand outside of Texas and instill a culture of continuous improvement. To meet their objectives, Airrosti leaders utilized data and analytics to improve their care model, manage their providers, and further prove their worth to payers and employer groups. Data from Blue Health Intelligence helped Airrosti show that their methods reduced the total cost of care, limited …