Author: Renee Towne

Making Laboratory Data Useful for Population Health Efforts – Risk Stratification Analytics Part 6

Providers are familiar with using laboratory test results to assist in the diagnosing and monitoring of a patient’s health condition. Performing this work for an entire population is challenging, as providers and care teams simply do not have time to jump from system to system to review test results, reconcile it with other health data…
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Moving Beyond Condition Cohorts – Risk Stratification Analytics Part 5

Many providers and care teams head down population health paths by targeting conventional, condition-based cohorts.  Yet, research has proven that the clustering of morbidity is a better predictor of health care service resource use than the presence of specific diseases. Condition cohorts are one approach. Patient-centered morbidity cohorts are another. When combined, the result is…
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Improving Value-Based Contract Performance with Flexible Analytic Attributions

Data that is linked to your patients and needs. That’s good, right? The concept seems simple enough. Yet, attribution – the process of assigning patients to a provider or organization – can range from basic to highly complex given the myriad of factors that come with appointing responsibility for a patient’s care. Turns out, many…
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NCQA’s Emerging Data Aggregator Validation (DAV) Targets Interoperability and Could Revolutionize the Value of the HIE for Health Plans

Using HIE data without the added primary source verification burden is what makes the DAV so attractive. Did you know one of the leading healthcare quality organizations is evolving their programs to permit better use Health Information Exchanges (HIE) data? That is how valuable the HIE is. As we talk about the future of quality…
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How NCQA’s New HEDIS® Electronic Clinical Data System Reporting gives HIEs another way to deliver value to Health Plans

Health Information Exchanges (HIEs) offer a valuable, interoperable data source, and health plans now have the possibility of better leveraging that data as part of NCQA’s new HEDIS® reporting type, Electronic Clinical Data System (ECDS). ECDS as a New Reporting Type HEDIS measures are historically collected in one of three ways – Administrative, Hybrid and…
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