Healthcare Analytics, Population Health Management, Healthcare Big Data

Healthcare Costs

Predictive Analytics with Claims Data Can Identify High-Cost Patients

October 11, 2018 - Payers may be able to identify future high cost patients by employing predictive analytics strategies to examine past claims,, according to a report from the Society of Actuaries (SOA). An individual’s spending history, prescription drug coverage history, age, and gender are the most significant predictors of whether or not a person is likely to incur high costs in the...


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Payer Analytics Link Dental, Eye Issues to Poor Health Outcomes

by Jessica Kent

Individuals who suffer from serious dental and vision conditions, including glaucoma, cataracts, and gum disease, are more likely to experience poor health comes and incur higher overall costs, according to a report from the Blue Cross...

Health Literacy Education Key to Rural Population Health, Care Access

by Jessica Kent

Improving patient health literacy and reducing out-of-pocket healthcare costs can support improved rural population health, according to a recent report from the National Quality Forum (NQF). More than 59 million people currently live in...

NJ Hospital Association Launches Big Data Analytics Center

by Jessica Kent

The New Jersey Hospital Association (NJHA) has launched a new center that will use big data analytics techniques to identify and address gaps in care. The NJHA Center for Health Analytics, Research, and Transformation (CHART) will apply...

Data Analytics Support $62M in Next Generation ACO Savings

by Jessica Kent

Data analytics and other health IT tools played an integral role in helping Next Generation Accountable Care Organization (NGACO) Model generate net savings of approximately $62 million for the Medicare program, states a new report from...

Adherence to Clinical Decision Support Cuts Costs by $1K Per Patient

by Jessica Kent

Adhering to a real-time clinical decision support system embedded in the EHR helped providers at Cedars-Sinai cut wasteful healthcare spending by almost $1000 per patient and improve patient outcomes, according to a study published in The...

RI to Use All-Payer Claims Database for Quality, Cost Analytics

by Jessica Kent

The Peterson Center on Healthcare, the state of Rhode Island, and Brown University have announced the Rhode Island Healthcare Cost Trends Collaborative Project, in which researchers will study spending information from Rhode Island’s...

Business Intelligence Newcomers Challenge Epic in Healthcare Market

by Jessica Kent

Epic has the deepest adoption of business intelligence capabilities among its customers, with clients leveraging the company’s predictive algorithms to improve decision support and patient outcomes. However, organizations are also...

Patient-Centered Medical Homes Key to ACOs, Population Health

by Jessica Kent

Advanced primary care models such as the patient-centered medical home (PCMH) may contribute to improved population health outcomes and lower costs in accountable care organizations (ACOs), according to a recent report from the...

Providers Embrace Predictive Analytics for Clinical, Financial Benefits

by Jessica Kent

Predictive analytics have the potential to enhance care delivery, improve patient outcomes, and reduce care costs, enticing more healthcare executives to explore the implementation of data-driven tools.   According to a recent survey...

Population Health Intervention Ups Hypertension Control by 6%

by Jessica Kent

Data-driven risk stratification and population health management strategies improved hypertension management by six percent in a safety-net clinic, indicating a promising approach for reducing care disparities, says a study published in...

Mount Sinai Launches Biomedical Blockchain Research Center

by Jessica Kent

Mount Sinai’s Icahn School of Medicine and the Institute for Next Generation Healthcare have launched the new Center for Biomedical Blockchain Research. The center will explore how to use decentralized, secure technologies to solve...

CHIO Role at CMS Will Enhance Data Sharing, Health IT Use

by Jessica Kent

The new Chief Health Informatics Officer (CHIO) position at CMS will work with federal officials and industry stakeholders to improve care delivery and patient outcomes through increased data sharing and health IT use. First announced in...

UHC, Medtronic Use Value-Based Care to Boost Diabetes Management

by Jessica Kent

A value-based care partnership between UnitedHealthcare and Medtronic has reduced preventable hospital admissions by 27 percent, enhanced diabetes management, and cut healthcare costs. First-year results, drawn from an analysis of over...

Atul Gawande to Lead Amazon, Berkshire, JPMorgan Healthcare Company

by Jennifer Bresnick

Brigham and Women’s surgeon Dr. Atul Gawande will be leading Amazon’s most significant leap into the healthcare industry yet by becoming CEO of the partnership between the e-commerce giant, JPMorgan Chase, and Berkshire...

CMS Efforts to Reduce Hospital-Acquired Conditions Save $2.9B

by Jessica Kent

The Agency for Healthcare Research and Quality (AHRQ) has released a report showing that CMS-led patient safety initiatives have reduced hospital-acquired conditions, helping to prevent an estimated 8,000 deaths and saving $2.9 billion in...

Costs Fell by 11% When Payer Addressed Social Determinants of Health

by Jessica Kent

Organizations that account for the social determinants of health and connect patients to services that meet their social needs could reduce spending by approximately 11 percent within a year, according to a recent study....

BCBS Value-Based Care Programs Boost Quality, Reduce Costs

by Jessica Kent

The Blue Cross Blue Shield Association (BCBSA) recently announced that its network of value-based care programs, including accountable care organizations (ACOs) and patient-centered medical homes (PCMHs), is outperforming other initiatives...

Humana Launches Value-Based Care Model for Expectant Mothers

by Jessica Kent

Humana has partnered with OB-GYN practices to introduce a national value-based payment model that will improve maternity care quality and reduce costs for Humana members with low- to moderate-risk pregnancies. “Because quality...

Patient Matching Issues Increase Costs, Threaten Patient Safety

by Jessica Kent

Patient matching issues that result in duplicate records and repeated medical care cost an average of $1950 per patient per inpatient stay and over $800 per ED visit, according to a Black Book survey of 1392 health technology...

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