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Webinar

Predictive Analytics: Drive Affordability and Better Health

Predictive models are an amazingly powerful use of data. And we have so many new reasons to use these advanced approaches to offset rising costs of care and challenging health conditions: deferred care, the increased need for mental health care, and virtual care adoption are disrupting historical patterns. How do predictive models work? Where is it best to consider using predictive analytics? What should you be doing with the results?

Watch this webinar to learn about how predictive analytics can fit into an overall analytic strategy. Invest in capabilities that allow you to act upon results, instead of sitting in reports in your inbox. Predictive analytics, when put to purpose, can be an instrumental part of a broader strategy to drive down costs and improve health. Make sure you have the big picture so you get the most from these investments.

We’ll share:

  • A framework to use to help discern where and how predictive capabilities are highly useful
  • Insights into how you can couple predictive capabilities and leading indicators
  • Approaches other health insurance providers are taking to act upon what their data is telling them

Webinar hosted by AHIP.


Speakers

Rani Aravamudhan, MBBS
Senior Clinical Consultant
Health Data & Management Solutions (HDMS)

Rani Aravamudhan joined HDMS as a Senior Clinical Consultant. She is a physician, specializing in General Medicine with extensive experience in the EMR/EHR and population-health industries with a focus on clinical transformation, workflow design and development, value-based care, risk management and clinical quality and performance reporting. Her strong background in clinical medicine and experience in the HIT industry make her successful in navigating payer, provider, and technology vendor landscapes.

Prior to joining HDMS, Rani worked for Philips Wellcentive as a Services Leader, where she led teams of program managers, clinical specialists and training staff along with heading their Data Governance committee. Before that, Rani was leading EMR/EHR implementations, workflow and process optimization consulting at McKesson Corporation and was their resident subject matter expert for all CMS quality reporting programs. Rani earned her medical degree at Grant Medical College in Mumbai University, India.


Keith Wilton
Vice President of Product Management
Health Data & Management Solutions (HDMS)

Keith Wilton is the Vice President of Product Management, with more than 15 years’ experience in Product Management and an emphasis on creating and deploying complex software applications. Keith joined HDMS in March 2016 after serving as Vice President of Product Management at Backstop Solutions, a leading player in the Alternative Investment space. Prior to Backstop, Keith ran product management for an arm of Morgan Stanley, and for other organizations. Keith received his B.S. degree from the University of Illinois Urbana-Champaign.

Trending now

Beyond Transparency in Coverage - Embrace plan sponsors with strategic analytics

What makes you trust someone?

Maybe they act upon facts and share these openly with you?
Even when it’s not great news?

While everyone works to meet Transparency in Coverage regulations, we see the chance for you to leap ahead. Anticipate where the market is going and offer more than traditional plan sponsor reporting – bring your plan sponsors business transparency, strategic plan performance transparency. You’ll earn their trust; you’ll be rewarded with retention.

With major industry changes, new care options, and changes in care needs, people have lots of new questions. Be the health plan that easily gives plan sponsors answers, even to hard questions.

Employers benefit because health benefit satsifaction is a contributing factor to employee retention. With the right analytics, it can be easy to find opportunities to improve, maybe by introducing additional plan options. Yes, that’s right. Design analytics that introduce the potential value of your buy-ups. With better plan performance everyone wins as health care costs lower overall.

In an industry built upon trust,

Embrace it, lead with trust


Increase plan sponsor trust with an analytic strategy that delivers better plan transparency, too.

You’ll deepen relationships, earn loyalty, and retain your customers.


Powerful plan sponsor analytics. Go beyond reporting.

What could controlled plan sponsor plan performance transparency look like?

Self-service analytic front-ends are what people want, to explore data. But the secret is the data itself. If you want to focus on using data for plan performance improvements, your analytic views will naturally be very specific to your business.

Take a peek at HDMS Enlight™. Imagine plan sponsors with access to data and analytics you choose or design. See teams working side by side with accounts, helping them to optimize and get the most out of your thoughtfully designed plans and networks.

Customers will love you for it.

Trust us.

(yet verify – it’s ok, we would too.)

Spotlight

Diversity, Equity, and Inclusion. Start with understanding where you really are...

Use Analytics to dig into specific parts of your population and better understand unique health concerns, emerging needs, and guide decisions for a more thoughtful benefits strategy.

HDMS clients have access to Transgender Health dashboards.
Look at some of the insights that clients may find.

Click here for just one example…


HDMS clients – have your team walk you through your dashboards. Where can you take this next? We’ll help tailor and expand this for you!

Useful Documents

How Data is Driving 2021 Benefits Strategies

Published in Fierce Healthcare
Authored by Rani Aravamudhan, Senior Clinical Consultant, HDMS


Health plans typically design benefit offerings by assessing patterns of utilization and cost data in previous years. Thanks to disruptor-in-chief, COVID-19, this traditional approach was rendered inadequate to say the least.

With the pandemic demanding agility, many health plans turned to flexible data analytics and infrastructures capable of generating original, actionable intelligence at a moment’s notice. Having the ability to respond rapidly to their clients’ immediate data needs, despite ongoing uncertainties, is much like having a fire truck ready to put out fires whenever and wherever they arise.

Health plans needed to quickly pivot business processes to align with evolving customer needs. For healthcare benefits administrator Meritain Health, the large-scale shift in the consumption of care that followed the onset of the pandemic required swift adjustments to accommodate changes in multiple areas: fluctuating sites of service and code sets and payment structures, to name a few. Hence Meritain implemented several strategic variations to their business processes.

Read more.

Trending now

Integrated Mental Health Strategies: A Right-Sized Approach to 2021

Published in HealthPayerIntelligence
Authored by Rani Aravamudhan, Senior Clinical Consultant, HDMS


Member programs encouraging mental health Data Analytics for Mental Healthand wellness have increased in popularity lately among health plans and sponsors. There is a growing consensus that a happy, healthy workforce can lead to better business results. Consequently, promoting mental health strategies is considered a “win-win” proposition.

The question is, how do we quantify the wins?

Read how.

Webinar

Navigating Change: Data Drives 2021 Benefits Strategies During Health Care Transformation

Health insurance providers can play an important role in helping plan sponsors navigate complex business decisions and necessary change during uncertainty. Through the pandemic chaos, data has been a beacon of light, giving us facts to shape where and how to best pivot in light of COVID-19. Data uncovers the areas we can be most helpful to our plan sponsors and members. Having a strong framework with the right structures in place that can roll with the new waves of regulations, coverage changes and payments is just as vital.

Listen to how Meritain is harnessing their powerful analytics to build strategic value with (and for) their clients, ensuring plan sponsors’ new requirements and members’ changing behaviors as they plan for 2021. With health care transforming right before our eyes, we need timely and quality data along with a means of turning on a dime more than ever before.

Attendees will learn:

  • How data lets plan sponsors understand and quantify the need for rapid plan design changes
  • The pandemic’s effect on high-risk populations and how health insurance providers can support vulnerable members
  • How 2020 utilization impact 2021 strategies
  • How quality data ensures accurate insights

Webinar

Mind Over Matter: Developing Cost-Effective Mental Health Strategies for 2021

New data analytics from HDMS uncovered some startling statistics about the impact of mental health conditions on the total cost of care.  In the current environment, stress and anxiety are driving increased demand for mental and behavioral health services.

There is no one-size-fits-all solution, so using data to understand your population is crucial – especially as we look toward 2021. In this presentation, you will hear fresh data-driven approaches adopted by health insurance providers that will continue to create new industry standards in our changed world – from current telehealth engagement and utilization for mental and behavioral health conditions/substance abuse to reimbursement practices.

How do you support a member trying to manage their diabetes, obesity, and hypertension with the added anxiety of COVID-19?

Attendees will learn how to:

  • Calculate total cost of care for members with mental and behavioral health conditions
  • Observe how mental health influences cost and utilization of medical conditions
  • View the cost impact of billing patterns among HCPs
  • Innovate access to care through telehealth and other cost-effective services
  • Design a custom strategy to create opportunities for better mental health

 

Webinar

Tiered Provider Networks: BCBS-SC Explores Learnings and Future Potential

In this webinar, the speakers explain how they used data analytics reporting to track and manage their tiered networks.  They focus on steerage, utilization and other specific metrics – and how it has changed over time.

Speakers: Mike Harris, Vice President, BlueCross BlueShield of South Carolina and Brent Raymond, Director Payer Account Services, HDMS

Uncategorized

Enlight Executive

Check out Enlight Executive – powerful analytics with simple to use data discovery features. Spend more time with your clients, because the analytic insights were easy to get.

HDMS takes care of the data management, ensures high data quality, and reveals health insights. That means account teams spend more time developing impactful strategies and helping clients make data-driven decisions.

Video

What every Executive should know about predictive analytics

This 20 minute tutorial is great for HR executives and Health Plan product managers who want to have more informed discussions about how and where predictive analytics can complement efforts at their organization.