Blue Health Intelligence® (BHI®) national analysis of HiCCs from 2016 to 2018 found that members with allowed annual costs exceeding $250,000 increased by 30.4%, costing $21.6 billion.  Additionally, members with allowed annual costs between $50,000 and $249, 999 increased by 15.8%, costing $75.3 billion.

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Predicting High-Cost Claimants to Avert Unnecessary Spending

Leveraging the power of claims data from more than 200 million Americans, Blue Health Intelligence (BHI) delivers insights that empower healthcare organizations to improve patient care, reduce costs, and optimize performance. With the largest, most up-to-date, and uniform data set in all of healthcare, BHI provides a highly accurate representation of the health profile of commercially insured Americans. 

At BHI, our mission is to help stakeholders make the right strategic decisions based on the best data and the most actionable analytics. To fulfill our mission, BHI offers software-as-a-service products, fully transparent methodologies, experienced consultants, and big data. 

In 2020, BHI will begin receiving Medicare fee-for-service claims data from all 50 states and the District of Columbia due to our recent certification as a Qualified Entity by CMS. Through this partnership, BHI will be able to combine medical and pharmacy claims information for people over the age of 65 and for those who have a long-term disability with our existing commercial information.

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