Healthcare Analytics, Population Health Management, Healthcare Big Data

Healthcare Payers

Humana Pins Social Determinants of Health to Better Quality of Life

November 16, 2017 - Taking a proactive approach to addressing the social determinants of health within a patient’s community can translate into measurably higher quality-of-life scores, Humana says in a new peer-reviewed article. By working within the community to reduce negative socioeconomic circumstances, Humana was able to increase patient-reported “healthy days” by 3.1 percent, as measured...


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Humana: Can Artificial Intelligence, NLP, Voice Tools Revamp EHRs?

by Jennifer Bresnick

Electronic health record (EHR) developers and consumer tech companies aren’t the only ones who believe that healthcare’s big data could use a massive makeover with the help of artificial intelligence, machine learning, and personal...

IBM: Blockchain, Artificial Intelligence Combo to Alter Healthcare

by Jennifer Bresnick

The combination of blockchain and artificial intelligence could bring significant improvements to a healthcare sector plagued by interoperability problems and big data analytics shortfalls, says IBM Watson Health Chief Science Officer Shahram...

Blockchain Aims to Foster Payer, Provider Trust for Value-Based Care

by Jennifer Bresnick

As the healthcare industry slowly becomes more connected and more interoperable, organizations are attempting to implement data management strategies that balance privacy and security with collective access and accessibility. Value-based care...

Five Blockchain Use Cases for Healthcare Payers, Providers

by Jennifer Bresnick

The distributed ledger methodology known as blockchain is piquing interest in the healthcare industry as organizations search for more secure and trusted strategies for managing big data.  By decentralizing ownership of key data sets, yet...

Blockchain Activity Grows Sharply for Healthcare Payers, Providers

by Jennifer Bresnick

Blockchain has come to healthcare in a big way during 2017, generating significant interest among providers and payers as an innovative way to bolster data exchange while keeping sensitive information secure. The distributed ledger methodology...

Borrowed from Retail, Anthem’s Big Data Analytics Boost Member Engagement

by Jennifer Bresnick

Commercial insurance companies are facing innumerable challenges as internal and external changes continue to buffet the healthcare industry.  As both leaders in the field of value-based care and for-profit entities subject to political...

Health Data Analytics a “Competitive Differentiator” for Payers

by Jennifer Bresnick

A robust and wide-ranging big data analytics strategy can be a “competitive differentiator” for health insurance payers seeking actionable insights to help them succeed with value-based care, says a new survey by Deloitte. Two out...

93% of Payers, Providers Say Predictive Analytics are the Future

by Jennifer Bresnick

Healthcare organizations will not be able to navigate the financial and clinical challenges of the future without investing in predictive analytics tools, said more than 90 percent of respondents to a Society of Actuaries (SOA) survey. The vast...

Humana Refines Diabetes Risk Stratification Tool Using ICD-10

by Jennifer Bresnick

In an effort to improve the delivery of targeted chronic disease management services to diabetes patients, Humana has revamped its Diabetes Complications Severity Index (DCSI) risk stratification tool to use ICD-10 codes, the payer detailed in...

Why an “Empty Desire” for Big Data is Inhibiting Value-Based Care

by Jennifer Bresnick

For the most part, the healthcare industry has embraced the idea that access to big data is a critical part of doing business in the modern care environment.  But there’s a major difference between having big data and leveraging it...

95% See Population Health as Critical, but Worry about Payment

by Thomas Beaton

While the vast majority of healthcare organizations view population health management as a critical part of their financial future, providers are experiencing several challenges as they try to implement these strategies, including policy and...

Can Blockchain Give Healthcare Payers Better Analytical Insight?

by Jennifer Bresnick

Blockchain may be starting to settle in to the financial industry as a secure methodology for tracking and approving transactions, but its use cases for other sectors, including the healthcare market, are not yet quite as clear. Population health...

Value-Based Care Starts with Basic Population Health Management

by Jennifer Bresnick

Healthcare organizations and their payer partners are learning very quickly that the transition from volume to value-based care is significantly more complicated than signing on the dotted line to switch reimbursement rates from one payment model...

97% Say Big Data Analytics Crucial for Healthcare Benefit Choices

by Jennifer Bresnick

Ninety-seven percent of human resources professionals believe that big data analytics are “essential” for making organizational decisions about healthcare benefits and wellness programs, according to a new poll from Geneia and the...

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