“Sometimes I think we’re becoming more of a data analytics company than anything else”
Humana Chief Medical Officer Roy Beveridge, M.D
Why are top payers investing in analytics?
In a recent Fierce Healthcare interview, Humana highlighted their long term commitment to analytics. Humana’s focus on Medicare Advantage means that they are increasingly in data partnerships with hospitals to provide insights and support through population health tools. What is fascinating to me, is this type of partnership would never have been possible in a fee-for-service world, and reflects the move to more value-based-care.
Population Health analytics
Population health tools in this space need to work with the heterogeneous data sets payers receive and are used to characterize and support their members. Many groups I have spoken to stratify high risk individuals in these data sets; for example smokers with heart disease are identified and given guidance by payers on quitting and incentives for exercise programs. I especially admire the way value-based providers and payers are working together to allow advice on high risk individuals to be given directly to the clinicians.