Predictive Analytics

How Payers Can Identify Providers for High-Performing Networks

July 12, 2023 - Enrolling in the right health plan can significantly influence healthcare costs and consumer health outcomes. Despite significant healthcare spending, the United States has the worst health outcomes among high-income countries. In 2021, the US spent 17.8 percent of gross domestic product on healthcare, nearly twice as much as the average high-income country, a study from the...


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How Payer Forecasting Is Shifting Towards Real-Time Data Analytics

by Kelsey Waddill

As aggregators of healthcare data, payers are modern-day seers for the healthcare industry and they are increasingly leaning on real-time analytics to perform this role. “Forecasting is a capability and an enabler to help create...

2021 Payer Strategies Build on Telehealth, Gene Therapy Lessons

by Kelsey Waddill

In 2021, payers will expand upon lessons learned about telehealth and gene therapy in 2020 as they implement their strategies in the new year. Listen to the full podcast to hear more details. And...

Using Member Engagement to Create Personalized Payer Experience

by Kelsey Waddill

Two Blue Cross Blue Shield Association companies are demonstrating how personalization of healthcare solutions continues to be the golden fleece for healthcare payers. “Employers are rethinking...

eHI Releases Guidelines for Social Determinants of Health Data

by Kelsey Waddill

eHealth Initiative (eHI) recently released its “Guiding Principles for Ethical Use of Social Determinants of Health Data” to ensure that ethics and security remain a priority for social...