Payers Unlock the Value of Clinical Data through Curation

Healthcare payers have recognized that optimizing care delivery requires more than their claims data and have therefore turned their focus to obtaining and integrating clinical data. Clinically based programs – including population health initiatives – can realize tens of millions of dollars in cost savings. Yet the major barrier to success continues to be 'dirty data' – the pervasive errors, gaps, and inconsistencies in the clinical information collected from payers’ provider networks.

With a clean and rich set of clinical data points such as lab results, radiology notes, body mass index, and immunization records, payers are better able to leverage existing solutions and execute on objectives such as:

  • Quickly and effectively targeting at-risk members for proactive care coordination to reduce future claims costs
  • Ensuring that members receive the most appropriate preventive care
  • Maximizing HEDIS®1 quality measures and Star ratings
  • Pinpointing gaps in diagnosis codes to help improve the accuracy of risk adjustment scores, thereby leading to higher capitation payments

Fortunately, there is a solution to the problem of dirty data. Fill out the form below and discover how Verinovum's Data Curation as a Service (DCaaS) platform extracts, standardizes, normalizes, enriches, and curates your data in your preferred format, so that it is actionable and reliable for improving population health, executing targeted chronic health management initiatives, and developing preventive care programs.

Download our white paper, “Payers Unlock the Value of Clinical Data through Curation

1HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).