Actian Healthcare Data Analytics Hub
Data-Driven Analytics for Superior
Value-Based Care and Payment Models
The Healthcare Digital Transformation Inflection Point is Here
In the wake of COVID-19, continually rising healthcare costs, and a rapidly changing market landscape, the need to pivot from reactionary, fee-for-service, in-person focused healthcare delivery to a value-based care and payments model with shared risk, improved alignment, and transparency between payers and providers has never been more clear. This shift requires that the following five priorities be front and center for 2021 and beyond:
- Adopt data integration and management platforms that support new CMS interoperability mandates
- Securely share data across clinical, administrative, financial, and external population health and SDOH data silos
- Build out patient and partner experience platforms that embrace the consumerization of healthcare
- Streamline and make transparent key financial and operational core systems such as claims processing and revenue cycle management
- Proactively identify and address error, abuse, and fraud
Real-Time Decision-Making Support with the
Actian Healthcare Data Analytics Hub
A Healthcare Data Analytics Hub can drive superior outcomes and increase competitive advantage
Aggregate and Act on Healthcare and SDOH Data on Day One
Provides integration and security features specific to healthcare data integration, management, and analytics, enabling creation of large datasets constructed from diverse internal or external healthcare systems of record (SORs) and SDOH data.
Gain Real-time Insights Across Silos
Enables analysts and others outside IT to run analytics without interacting directly with the raw data. Not only does this eliminate any risk to the integrity of the data, but the data brought into the Data Analytics Hub can be appropriately masked for compliance with HIPAA and other regulations..
Improve Patient and Provider Operations and Alignment
Payer, provider, and patient relationships are constantly evolving, as are payer-provider networks, the customerization of expectations, and regulations. Value-based care and payments require real-time insights across organizations to streamline operations, improve outcomes, and reduce costs.
“We selected Actian to address our most demanding data analytics workloads. Avalanche offers the perfect combination of great analytics performance and the lowest total cost of ownership available in a cloud offering.”
Dan Sheehan, Executive Vice President and Chief Information Officer of Beacon Health
Healthcare organizations need more accurate insights in real-time. With Actian they can quickly leverage the cloud to access and enrich, process and analyze, automate and act on the broadest set of healthcare data, empowering healthcare data analysts with self-service data integration and analysis, without impacting existing systems of record, and lowering the burden on IT.
Improve accuracy and accelerate reimbursements and claims processing
Value-based care requires value-based payments but, for this pairing to work, providers and payers must be aligned on a trusted and verifiable set of insights derived from more than just the transactional data at hand.
Reduce costs and time to onboard members, providers, and patients
Whether it’s patient admission to an ER, adding new hospital suppliers, or a new in-network provider for a payer, the ability to accurately gather the right information in real-time is critical to cost avoidance, improved care delivery outcomes, and alignment across all concerned parties.
Optimize network interoperability to support value-based care
Healthcare data silos generate a broad range of negative outcomes, ranging from medical errors and adverse drug reactions to simple yet frustrating repetition of re-entering the same information over and over. CMS and OHT have mandated an end to “walled gardens” and interoperability standards are eliminating excuses. However, the key to delivering value-based care and payments is as much about analysis and decision making once that data is shared as the sharing of the data itself.
Proactive error, abuse, and fraud detection and risk reduction
With the complexity of medical procedures, variety of goods and services, medical billing is prone to errors and waste. However analytics can tackle not only deliberate fraud but also unintentional errors, inefficiencies, and abnormal patterns and outliers.
Gain revenue cycle and operational insights
Gaining insights into revenue cycle patterns to better plan and forecast are essential in reduce claim rejections and denials while ensuring predictable revenue, sustained over a longer period of time through opportunities for shared risk and improved satisfaction rates between payers, providers and patients.
Build and sustain a Member360 view
Payers and managed care organizations must intelligently act on tailored member insights in real-time to effectively compete. In addition, Government mandates around medical price transparency, data interoperability, and the looming requirements around managing a person’s consent to share their personal health data make “member-360” initiatives an immediate imperative.