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National Summit Showcases Blue Plans’ Leading Role in Analytics

In Thought Leadership by BHI

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 …

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The Latest Leading Cost Drivers in the Blue System

In Thought Leadership by BHI

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% — …

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How Big Data And Machine Learning Can Predict And Prevent Isolated Cases Of Disease

In Thought Leadership by Sanket Shah

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 …

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The Health of Millennials

In Thought Leadership by BHI

In this Health of America report, the Blue Cross Blue Shield(BCBS) Association, in collaboration with Blue Health Intelligence, examined the overall health of the millennial generation, which will soon be the largest generation of Americans in the workforce.

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The High Potential of VR/AR Technologies

In Thought Leadership by Sanket Shah

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 …

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How Technology Can Help Seniors Live Better

In Thought Leadership by BHI

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 …

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Real-world data and adverse events

In Thought Leadership by BHI

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 …

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Getting to the Root of High-Cost Claimants

In Thought Leadership by BHI

Among regional health plans, a recent Blue Health Intelligence (BHI) analysis found that the number of very high-cost claimants (HCCs) — members with more than $500,000 in annual claims — has nearly doubled over the last five years. Previous research shows that specialty pharmacy is a major factor in this growth. However, out-of-area claims are not a large factor in this growth.   …