Organize & Integrate Member Data

Organize & Integrate Member Data

Successful member level data quality and integration capabilities are foundational to the business and clinical processes of today’s health plan

Related:

  1. Organize & Integrate Member Data
  2. Develop Powerful, Flexible Insights
  3. Orchestrate & Improve Performance of Engagement Activities
  4. Manage the Quality & Effectiveness of Submission Data
  5. Optimize Program Performance

Organize and integrate member data

Successful member level data quality and integration capabilities are foundational to the business and clinical processes of today’s health plan

Many health plans have yet to master the art and science of bringing their membership, claims, clinical, and consumer data assets together in a way that is efficient and effective for analytics and analytically driven operations.

In addition to addressing core data management challenges, health plans often struggle with identifying, testing, proving value, and ultimately, using new types of data for risk adjustment and care management purposes.

How we can help

  • Member and patient data mastering – resolve complex identity issues across a wide variety of disparate data sources, including membership and claims, EMR systems, member engagement platforms, and care management systems
  • Complex algorithm implementation – build and deploy models to match claims and interaction data across provider and partner platforms
  • Data structure build – design and build flexible, proprietary data structures to support virtually any type of analysis or engagement activity