View Post

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 …

View Post

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.

View Post

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 …

View Post

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 …

View Post

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 …

View Post

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.   …

View Post

Stop the Bleeding: Two Ways Health Plans Can Save Money and Improve Care

In Thought Leadership by BHI

Unnecessary care that provides little to no clinical benefit, and services performed in high-priced or inappropriate settings are costing health plans billions each year. Eliminating Unnecessary Care To determine the extent of unwarranted tests, prescriptions, and procedures being delivered within health plans, data scientists from Blue Health Intelligence® (BHI®) examined claims from more than 39 million eligible members. Of the …

View Post

How BHI’s Population Advyzer Helped Three Health Plans Achieve Significant ROI in Risk Adjustment

In Thought Leadership by BHI

Challenge Health plans today want greater internal control of their Affordable Care Act (ACA) and Medicare Advantage risk adjustment programs and increased visibility into the risk adjustment process. No longer content to rely on broad-brush chart reviews, provider engagement, and in-home assessments, health plans instead want greater accuracy, efficiency, and transparency in how members are selected and which interventions are …