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Published in Fierce Healthcare
Authored by Dr. Rani Aravamudhan, 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.
Listen to how Meritain harnesses their powerful analytics to build strategic value with (and for) their clients. Meritain ensures new plan sponsor requirements and changing member behaviors inform innovation and planning.
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.
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Health insurance providers play an important role in helping plan sponsors navigate complex business decisions and necessary change during uncertainty and transformation. Data can be a beacon of light, giving us facts to shape where and how to best pivot. Data uncovers the areas we can be most helpful to plan sponsors and members.
Learn how to develop a strong framework with the right structures in place. Roll with new waves of regulations, coverage changes and payments or anything else that comes your way.
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Hear what Lowe’s has to say about some deep analysis on Opioid abuse patterns and related employer policies discussions.
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Hear how leaders at BCBS SC 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.
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This HDMS client got the full benefit of quick response times from trusted analytic partners.
Read how HDMS saved this large retailer $400,000 with a quick overnight analysis.
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