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
Planned Knee and Hip Replacement Surgeries are on the Rise in the U.S.
Planned knee and hip replacements are becoming more common among Americans, including people under age 55.
How Technology Can Help Seniors Live Better
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
Real-world data and adverse events
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
Getting to the Root of High-Cost Claimants
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. … Read More
Stop the Bleeding: Two Ways Health Plans Can Save Money and Improve Care
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 … Read More
How BHI’s Population Advyzer Helped Three Health Plans Achieve Significant ROI in Risk Adjustment
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 … Read More
Prescription Drug Cost Trend Update
In this updated Health of America report, the Blue Cross Blue Shield (BCBS) Association, in collaboration with Blue Health Intelligence, performed a more in-depth review of two types of branded prescription drugs to better understand why generic drugs are not reining in prescription drug costs as anticipated.
How to Build a Successful Big Data Analytics Program in Healthcare
Most hospitals and health systems have started to collect some form of electronic information to help them with population health management, financial decision-making, or patient safety, but few have truly cracked the secret of using big data to generate measurable improvements in quality and revenue. Sanket Shah, Senior Director at Blue Health Intelligence, discusses how organizations struggle with big data … Read More
Using Visual Analytics, Big Data Dashboards for Healthcare Insights
Healthcare organizations’ thirst for insights has intensified over the past few years. Executives want to be able to use data to figure out why something is happening, what to do about it, and what to expect in the future. BHI’s Sanket Shah contributes to this article about how there is a lot of data and why getting actionable insights from … Read More