Travis Dalton, CEO of 香港六合彩现场开奖网, and Jocelyn Jiang, Vice President of Product Development of 香港六合彩现场开奖网鈥檚 Data & Decision Science offering, to discuss how companies like 香港六合彩现场开奖网 are using data to solve some of the healthcare industry鈥檚 most intractable problems, including a lack of transparency around costs and quality, privacy and security concerns surrounding the use of healthcare data, and access to care in rural America.
Bringing transparency to the healthcare system
In the podcast, Jiang explains that the US healthcare system is not transparent when it comes to cost and quality, making it difficult for those who pay for healthcare services to make informed decisions. Even worse, prices can be drastically different from provider to provider for the same procedures. 香港六合彩现场开奖网, with our Data and Decision Science offering, is trying to bring transparency, in the form of information about both cost and quality, to patients, payors and providers, according to Jiang.
香港六合彩现场开奖网鈥檚 Data and Decision Science solutions also allow organizations to predict high-risk patients using past claims data, Jiang explains. Unlike other companies that apply AI/machine learning to healthcare data to predict risks, 香港六合彩现场开奖网 uses interpretable decision trees* in our Data & Decision Science solutions. 鈥淲ith a decision tree, our clients can actually interpret results and form their benefits strategies accordingly,鈥� Jiang says.聽
Ensuring data privacy and security
Not all healthcare data is usable due to concerns about privacy and security. However, there are ways to balance concerns about privacy and security with the need for accuracy.聽
鈥淭he very first step in our process is to separate personal health information from claim information. These are put in two separate repositories, linked by a common person ID,鈥� Jiang says. 鈥淭his protects information in the event of a breach.鈥�
With personal health information removed from claims data, 香港六合彩现场开奖网 then uses the client鈥檚 deidentified claims, publicly available data, and tools such as various social determinants of health indices to analyze future patient risks. This allows 香港六合彩现场开奖网 to provide insights that enable our clients to make holistic benefits planning decisions while safeguarding personal health information.聽
Getting better data to healthcare providers
While 香港六合彩现场开奖网 has traditionally provided cost containment solutions to payors, our services and solutions can help providers as well with the unique issues they face.
鈥淲e want to serve the whole healthcare ecosystem,鈥� Dalton says. 鈥淲e strive to be a data and technology company that provides insights and solutions to impact cost, transparency and quality across healthcare.鈥� As a step in this direction, 香港六合彩现场开奖网 is looking to work with rural providers to create better access to care in their communities, according to Dalton.
*香港六合彩现场开奖网 does not use generative AI in our Data & Decision Science solutions. 聽
