LABORATORY DATA ANALYSIS FOR VALUE BASED CARE
Determine the Potential Value of Your Lab Data
Is your organization using longitudinal laboratory results to maximize full risk adjustment payments and improve healthcare outcomes? We help clients go beyond medication data and diagnosis codes to readily detect patient conditions, risk of comorbidities and care gaps at an earlier stage. We also help identify patients who need proper hierarchical categorical classification, which can increase risk adjustment payments for the delivery system or the payer.
Click here to see how we helped a Payer leverage insights derived from lab results to render a potential $3.7 million in value, an overall lift of 65% compared to the previous year.
Our Lab Data Analysis service uses a thorough three step review to determine your current abilities, potential value of your lab data, and an actionable plan and strategy for value-based care.
Evaluation of Laboratory Infrastructure & Clinical Impact
-
Review current information technology infrastructure (cadence of accumulating lab data, storage techniques, analytic tools, and interfaces).
-
Determine if any automated lab data interpretation is being performed.
-
Evaluate existing infrastructure's ability to analyze all aspects of laboratory data to identify various conditions, risk factors, and outcomes (lab test menu, additional data sets such as ask-at-order-entry, testing location, insurance information, database language, etc ...).
-
Assess longitudinal patient identification methods (master patient indexing method).
EVALUATION OF LABORATORY INFRASTRUCTURE & CLINICAL IMPACT
Use Case Determination & Market Valuation
-
Analyze a sample patient population to develop several use cases for implementing automated laboratory data analysis.
-
Show the economic value of use cases.
-
Provide an organizational plan to move towards a value-based model i.e., pay for performance, upside risk, downside risk, etc.
USE CASE DETERMINATION & MARKET VALUE
Findings & Deliverables
-
Comprehensive analysis with an actionable plan and strategy to move forward.
-
Results of use case analysis – Show lab’s current data value and enhancement of existing analytics.
-
Value-based care recommendations, which includes stratification by condition, HCV, diabetes, CKD, and more.
-
Potential market value, which will be stratified by payer, enabling you to identify and pursue the highest-value opportunities.