In this Health of America report, the Blue Cross Blue Shield (BCBS) Association, in collaboration with Blue Health Intelligence, examined the overall health of Americans with early-onset dementia and Alzheimer’s disease. As early-onset dementia and Alzheimer’s disease continue to affect younger Americans, it is important to understand the impact of both forms of dementia on the health of Americans and …
Early Warning Signals: Predicting High-Cost Claimants in Time to Avert Billions in Unnecessary Spending
The number of individuals with high-cost and very high-cost medical claims is continuing to grow, consuming more and more of the total healthcare spend in the United States. The ability to predict which individuals are on a path to high cost, and which interventions have the best chance of preventing that eventuality, has become critically important.
Stop the Bleeding: The Widespread Impact of Healthcare Waste
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. The potential to harm patients may stem directly from the risks of LVC, or indirectly from additional tests and procedures that contain risks and/or have little or no clinical benefit. Blue …
Cost of Care Snapshot: 3-Year Trends
In this report, Blue Health Intelligence® (BHI®) presents a summary of recent healthcare trends using claims data from the most trusted commercial health plans. In looking across all this information, three trends continue to rise to the surface: Cost increases are outpacing healthcare utilization. Care settings continue to have a huge impact on costs. The prescription drug cost gap is still …
The Power of Pharmaceuticals: Rx Spending Outpaces Inpatient Hospital Spending 2018 & 2019
Research from Blue Health Intelligence® (BHI®) shows that for the last two years, pharmacy (Rx) spending has contributed more than inpatient hospital costs to the total cost of care (TCOC) for commercially insured Americans.
The Health Impact of Multiple Sclerosis
In this Health of America report, the Blue Cross Blue Shield(BCBS) Association, in collaboration with Blue Health Intelligence, examined the overall health of American with MS. With more than half a million people living with MS, it is crucial to better understand the impact of this condition on the health, wellness and quality of life of Americans.
Reducing Waste and Improving Outcomes with Data
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 …
Collecting Social Determinants Data with Communication, Data Sharing
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 …
National Summit Showcases Blue Plans’ Leading Role in Analytics
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 …
The Latest Leading Cost Drivers in the Blue System
Using our massive data repository and powerful analytic tools, BHI regularly examines high-level cost and utilization trends. In the most recent dive into our big data, comprised of more than 19 billion claims from over 190 million members, three trends stood out. PMPM Costs Continue to Climb At a macro level, total commercial health plan PMPM costs rose 6.5% — …