BHI claims data is helping Concert Genetics connect a much-needed genetic health information network

BHICase Studies

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 … Read More

How Population Advyzer helped three health plans achieve significant ROI in risk adjustment

BHICase Studies

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 … Read More

Data supports therapy provider’s claims of lower costs, higher quality

BHICase Studies

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 … Read More