Blue Health Intelligence
Member Level: VendorVendor Overview
Description of Services: Leveraging the industry's largest conformed healthcare claims database, Blue Health Intelligence® (BHI®) provides analytic solutions and consulting insights that improve patient care, reduce costs, improve risk score accuracy and quality ratings, and optimize performance.
BHI’s solutions enable health plans, employers, providers, and other stakeholders to:
• Mitigate adverse revenue impacts through targeted risk-adjustment programs using Population Advyzer
• View intuitive dashboards and reports that identify members’ prevalent conditions and analyze their costs, utilization, and impact at the employer account level through Whyzen – our state-of-the art employer analytics, reporting and benchmarking solution
• Utilize our proprietary, transparent, and customizable Episode of Care Grouper, which incorporates both treatment and procedures to manage quality, provider, and financial performance
BHI’s team of consultants, clinicians, data scientists, epidemiologists, business leaders, and bio-statisticians have deep experience providing meaningful insights and guidance to help health plans confidently and profitably operate. BHI’s Analytic Consulting professionals leverage our immense data asset, artificial intelligence, machine learning, and predictive analytics to identify high-cost claimants, improve care management, and assess sites of service. This allows plans and providers to save money, increase efficiencies, and eliminate care that offers little or no clinical benefit.
The BHI Data Repository represents the most comprehensive, conformed, and timely healthcare?claims?data in the U.S.??In addition to the 190+ Million unique lives and 19+ Billion claims already in our data repository, BHI’s available analytic assets will grow by another 59+ Million unique lives later this year as we incorporate Medicare fee-for service data, given our select status as a Qualitied Entity for all 50 states and the District of Columbia.?
Primary Service: Enterprise Data
Secondary Service: Consulting
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225 North Michigan Avenue
Suite 970
Chicago, IL 60601
3122069492
http://www.bluehealthintelligence.com
Documents
BHI Population Advyzer: Optimize Risk-Adjustment Strategies and Maximize ROI
Risk score accuracy is important. It impacts reimbursements. Delivering accurate risk scores and impactful interventions for Medicare Advantage and ACA populations require intense time and attention.
Recording: Know Before You Go: Using Analytics to Maximize Risk Adjustment Strategies and Optimize ROI
Medicare and ACA populations and providers are constantly in flux. Therefore, delivering accurate risk scores and impactful interventions for these programs requires intense time and attention. Without that focus, members' health and plans' revenue are in jeopardy.