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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 …

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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 …

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Prescription Drug Cost Trend Update

In Thought Leadership by BHI

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.

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How to Build a Successful Big Data Analytics Program in Healthcare

In Thought Leadership by BHI

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 …

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Fact or Fiction: Five Common Downfalls of Data Visualizations

In Thought Leadership by Sanket Shah

Just like a photo can be altered to remove imperfections, visuals can be manipulated to support the narration an author wants to portray. Likewise, overly complicated visualizations can be just as deceptive. Thanks to technology, there is a wealth of data at our disposal. By falsely representing that data, we do a disservice to those that would benefit from its …

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5 Ways Your Health IT Startup Can Stay Ahead

In Thought Leadership by BHI

Entrepreneurs in the health information technology field are very aware that they have entered an industry full of competition and challenges. It calls for an extra level of due diligence among leaders in the field, who need to take extra care to not only keep up, but keep their businesses a few steps ahead of competitors. Sanket Shah, director at …