July 20199moments of influence where they can improve patient health.For example, a physician group managing the health of seniors, many of whom are living with multiple chronic conditions, must have access not only to the clinical data residing in their own and others' electronic medical record system (EMRs), they need insights derived from health plan data to see a complete picture of their patients' health.Health plan data transcends institutional boundaries--it has information about care delivered in another clinic or even another state; it has data about prescriptions that have been filled and refilled; it has vital demographic data that can reveal determinants of health that go beyond what happens in the clinic or hospital.The data volumes and variety are massive and require advanced data analytics capabilities to deliver insights that can predict disease progression, find patterns of behavior that lead to better outcomes, and guide patients and clinicians to better experiences and outcomes. Value-based models can drive these results by bringing former adversaries into an aligned partnership.The Secret is ConnectivityTo successfully manage populations, physicians require data analytics capabilities and supporting technologies that enable them to identify ways where they can help the patient better manage his or her chronic condition. Data analytics platforms must be scalable to enable proactive detection of patterns of behavior affecting a patient's health. Diverse data feeds are needed to support analytics that enable detection of patients requiring complex or higher risk treatments so the right patients receive the most appropriate treatment for them.We must recognize that today, data is found not just in health claims, and that data sources are still siloed across the health system. Furthermore, some critical data, such as wellness data from fitness and other remote monitoring devices, are not integrated into the broader data picture for most patients.All of the data affecting a person's health, from claims information to clinical data to wellness data, must be collected from different health entities in real-time so data analytics can be applied at the right time, at the right place, and for the right patient. For example, at Humana's Transcend Insights, our support helped our partners locate and identify more than 58.4 million care improvement opportunities, which enabled them, with our support, to close more than 5.4 million gaps in care.When there is connectivity across the siloes, and real interoperability among systems, data analytics can ensure that we can deliver a better, higher quality form of proactive, holistic care.One with the OtherIn the not-so-distant future, the entire health care industry, from pharma and physicians to hospitals and nursing homes, will deliver value-based care. Value-based health care will be disruptive to our current system--but that is a good thing if it stems the growth of chronic disease, delivers a better experience of care, and helps control costs.We as physicians know that our understanding of the patients whose health we're responsible for will benefit in a system that prioritizes results over actions. Moving to this new paradigm of value starts by harnessing the significant potential of data analytics so care professionals can make a difference in real-time.We need both new care delivery models and technology to support them--because you can't have one without the other if you want to build a healthier world. Thomas J. Van GilderRoy A. BeveridgeNew diagnostic tools, new treatments, new ways of delivering care all are carefully studied, tested, and refined before becoming standard
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