Creating a treasure trove of data for health plans: Shifting focus from disparate systems to a connected future

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Creating a treasure trove of data for health plans: Shifting focus from disparate systems to a connected future

Today, health plans gather and report data for many purposes. They require physician practices to report data from health records for quality reporting and collect diagnoses from claims and other sources to support risk adjustment. They also use data from these sources and others for population health and care management initiatives by identifying individuals at risk for high health care spending.

However, these functions are separate and uncoordinated. In this article, we dive into two types of opportunities for health plans to manage this data more efficiently over the next three to five years:

  • Coordination of the data and processes at the functions that support data with an enterprisewide strategy (including risk adjustment, quality/stars, and care management)
  • Automate aspects of data collection and reporting using tools like robotic processing automation, natural language processing, and artificial intelligence.

Even as health plans and government agencies consider opportunities to do this work more efficiently, a view to the future might help these stakeholders anticipate how technology will trans-form data collection and analysis.

Though that world seems far away today, the savvy organization should invest in a strategy with an eye toward the future of health. To learn more, read the full article.

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