Health Language Blog

From Data to Intelligence: The Path to Improving Plans’ Performance

Posted on 01/08/20 | Comments

The Value of AI in Healthcare 

There’s been a lot of buzz about the promise of artificial intelligence (AI) in healthcare. We’re moving rapidly from hype to real-world use cases in which health leaders recognize that AI holds the potential to diagnose and treat disease, improve processes, and better manage underlying operational, financial, and patient health data through which they can innovate and maximize value. 

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Topics: Health Plans, NLP, unstructured text, quality measure reporting, clinical natural language processing, patient risk, cnlp, Medicare Advantage, HEDIS, Star Ratings, member health

Little Savings on Tests Found Through HIE

Posted on 06/17/13 | Comments

Little_Savings_on_Tests_Found_Through_HIE

Originally written by Susan D. Hall

A Colorado study of ambulatory practices found no significant reduction in the number of tests ordered or in the cost of tests among the participants of a Health Information Exchange (HIE). The Study analyzed claims data from Rocky Mountain Health Plans, a leading health plan in the market, for 306 providers in 69 practices in Mesa County, CO. The study compared the number of tests ordered and their costs before and after the providers joined the HIE, which was launched in 2005 by Quality Health Network (QHN). By 2010, 85 percent of the providers in the area were participating in the HIE. The study was published in the Journal of the American Medical Informatics Association.

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Topics: HIE, Health Plans, Health Language, Dr. Steve Ross, Health Information Exchange, Wolters Kluwer Health, Rocky Mountain Health Plans, American Medical Informatics Association, Quality, Health Network, ambulatory