Verisk Health recently held a very candid webinar direct from the front lines of accountable care.
Bob Kay, Senior Data Analyst of New Hampshire's Granite Healthcare Network (GHN) shared his experience using analytics to fulfill GHN’s promise to provide seamless, cost effective care for the patients of its five-system network.
Joined by Verisk Health’s strategic account manager, Ashlyn Kelly, Bob outlined how GHN faced a massive shortfall in governmental funding, a high number of uninsured, and shifting demographics that promised to drive rapid growth in governmental beneficiaries.
Bob spoke on issues such as:
Population Health Management being instrumental to success
Any successful ACO or payer must adequately diffuse risk across a population. Providers are best suited to manage population health via:
- Direct control of the majority of healthcare spending
- Direct access to patients
- Longitudinal knowledge about patient conditions
Data and analytics are essential to comprehensively understanding a population and taking appropriate action.
The need to have an effective Data Acquisition & Management strategy
Acquiring the necessary data isn’t always easy. Strong relationships and constant vigilance are vital to gathering the data necessary for population management.
The challenge of integrating disparate claims data
There’s a steep learning curve when it comes to using claims data to determine direction. Verisk Health provides comprehensive data summaries and drill-down capabilities for more subtle data problems.
How to glean valuable new insight from claims data
Claims data across an ACO can help pinpoint and predict the drivers of increased risk and cost. Verisk Health solutions helped GHN segment populations, get likelihood models and compare itself to commercial member benchmarks based on age, gender and geography.
Many challenges still lie ahead for GHN, but Verisk Health’s solutions enable a multi-tiered approach to data management, analytics and technologies and can help target potential cost-savings and help the ACO as it navigates the unpredictable roads ahead.
Learn more about Verisk’s solutions for ACOs here.
