Healthcare IT Today January 9, 2020
The following is a guest article by Deborah Dean, Technology Advisor, BioIQ.
As healthcare makes the transition to value-based care, use of data analytics has become an essential tool for both payers and providers. This article explores progress so far and opportunities for payer and provider partnership on data-driven care initiatives. How can payers and providers work together to turn data into consumable information that drives positive clinical and financial outcomes?
Over the years, payers have created sophisticated data analytics groups for the purpose of contract pricing and actuarial work to meet different payment models. Some health plans, especially the larger ones, rely on a shared risk model using data analytics to calculate risk in pricing their business. This involves...