The Episode of Care (EoC) Grouper from Blue Health Intelligence® (BHI®) is the leading edge of commercial groupers, unique in its inclusion of both procedures and conditions, and in its fully transparent methodology. This white paper discusses how the BHI EoC Grouper’s ability to provide a high-level conceptual model of illness, diagnosis, and treatment of individual patients for specified conditions … Read More

Swati Abbott, CEO of Blue Health Intelligence, firmly believes her company can help reduce waste through the use of artificial intelligence and expert analytics. Blue Health Intelligence is a privately held healthcare analytics and intelligence company with access to the largest, most current health care data repository in the US.  It leverages data insights into innovative analytics solutions. BHI has proven … Read More

Though the majority of the healthcare industry recognizes the impact social determinants have on overall health, collecting this data has proved challenging. Providers often feel that they don’t have the time or the resources to gather and capture this data, which can keep them from addressing the barriers that affect their patient populations. Shah discusses what some organizations are advising to help … Read More

The collaboration showcased in the Analytics and Informatics sessions at this year’s Blue Cross Blue Shield National Summit was amazing. It was impressive to see how BHI and the Blue Plans are working to assure that AI, machine learning, data analytics, and predictive modeling are being combined with real-world knowledge to produce meaningful solutions for payers, members, and providers. Attendees … Read More

Predicting when and where disease will occur would be of great assistance to medical professionals and public health officials, who could more aggressively focus public awareness campaigns and other programs on certain populations to inhibit the development and spread of measles, or other potentially deadly viruses. In fact, the World Health Organization’s risk assessment tool has been successfully used to … Read More

There is a tremendous opportunity for VR (virtual reality) and AR (augmented reality) solutions to help healthcare providers unlock the value of vast amounts of health data that have never been used to their full potential. By leveraging this trove of information, organizations will have opportunities to significantly reduce costs and provide higher-quality patient care. Technology companies are racing to … Read More

Once thought of as technophobes, seniors today have their own reasons for embracing today’s technologies. Sure, they want to stay in touch with loved ones like other, younger demographics, but they are also finding out that smart devices, smart apps, and smart homes can help them to stay in their homes longer while offering their loved ones more peace of … Read More

In many contexts, adverse events are identified, with good reason, for the purpose of identifying errors or where processes can be improved. But as a result, some adverse events may be excluded from those counts because they are “clinically expected” given patient comorbidities and other issues. BHI’s attempt to paint a ‘real-world’ picture of ‘what went wrong’, by limiting exclusions … Read More