Deloitte April 12, 2019
Ralph Judah, Matt Siegel, Claire Boozer Cruse

By 2040, health data will be continually updated and reflect much deeper insights into the drivers of health and health care costs. Health plan organizations should invest in a strategy with an eye toward this future.

Executive summary

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. Often these functions are separate and uncoordinated.

We see two types of opportunities for health plans to manage this data...

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Topics: Analytics, Big Data, Insurance, Medicaid, Medicare, Medicare Advantage, Payer, Technology
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