Blue Cross and Blue Shield of North Carolina has selected two solutions from Maryland-based Inovalon, Inc. to identify and close gaps between current and desired states of care, quality, assessment, and documentation. These new solutions will, no doubt, have a positive impact on BCBSNC’s 3.7 million members.
The first solution, Prospective Advantage, combines healthcare analytics with “coordinated patient and provider encounter facilitation.” According to Inovalon’s recent statement, the analytics of this solution bring “meaningful intelligence to all forms of outreach and intervention,” among them call center outreach and print materials.
The second solution that BCBSNC will be implementing is INDICES, which leverages OLAP cube technology and analytics to “enable healthcare organizations near-real-time insight into member, provider, and clinical facility care, utilization, quality, disease, demographic, risk score, and financial trends and performance.” The solution offers comparative insights against more than 85 million patients.
Keith Dunleavy, M.D., the president and CEO of Inovalon, says that the pressure on health plans to deliver “high quality of care with a concurrent attention toward financial efficiency” is “growing ever-more prevalent in today’s healthcare landscape.” Kat Gesh-Wilson, the vice president of government operations at Blue Cross and Blue Shield of North Carolina notes that when care is not well-coordinated, “it’s less effective and costs more.”
Inovalon has announced that the deal inked is for a multi-year engagement. According to the company’s website, their solutions help health plans, physicians, members of the health plans who use their solutions, and patients of the physicians who use their solutions by improving clinical and quality outcomes, financial efficiencies, and disease management. Inovalon’s solutions provide another example of how data is starting to impact our lives on a daily basis, and inking a deal with a provider like Blue Cross Blue Shield of North Carolina is an indication of how widespread the impact of data will become in the near future.
Edited by
Rory J. Thompson
