Becker’s Hospital Review: The Next Level of Provider-Payer Collaboration: Clinical and Claims Data Integration

Value-based care models increasingly emphasize and reward payer-provider collaboration, including the integration of their historically siloed data: claims data and clinical data. When this information is thoughtfully combined and reconciled, organizations can more precisely identify cost and quality opportunities that will maximize performance in risk-based contracts.

In this presentation you will learn about strategies and technology solutions that that have empowered health plans, accountable care organizations, and health systems across the country to boost the effectiveness of their payer-provider collaboration efforts, including:

• How to generate and share analytic insights that are trusted, actionable, and aligned with the financial and quality goals of a payer-provider contract.

• When to use clinical, claims, or a combination of both data sources to generate the most precise insights.

• Strategies and tools to communicate and act on insights within care management and provider workflows