Tag: claims data

Condition Cohorts – Risk Stratification Analytics Part 4

It is common practice for those looking to improve the health of a population to first start by categorizing patients into different condition categories. One of the more common approaches is to segment a population into condition cohorts, especially to identify those conditions that are of high prevalence, higher cost and commonly linked to care…
Read more

The Evolution of HIEs and Health Plans: Benefits of Providing Both NCQA eCQM Certification and Measure Certification℠ for HEDIS®

The unique data stores and industry positioning, coupled with advanced analytics, is evolving HIEs to be a valuable health data source for payers. In today’s dynamic health care industry—one that’s hyper-focused on the transition to paying for performance—payers must be fluent in quality measurement and comfortable moving between data sources. Reducing burden while upholding quality…
Read more

Claims vs. EHR data in Direct Primary Care

As data becomes a larger ticket item for direct primary care practices (DPCs), we wanted to share perspective from a DPC lens on the most common data sources: Electronic Health Records (EHR) and Claims. How can EHR data be leveraged in DPC? EHR data contains real-time information on patient’s history, encounters, problems, vitals, labs, medications,…
Read more