Upload
medullan
View
23
Download
1
Embed Size (px)
Citation preview
Insight. Action. Measure.
Finding actionable insights in healthcare’s Big DataAugust 5, 2015
© Medullan, Inc.
2page© Medullan Inc.
Heather RitchieVP, Product ManagementHeather leads product strategy and roadmap at zakipoint Health. Her expertise is in defining product strategies and customer experiences for healthcare technology solutions.
Your Guides Today
Ryan RossierVP, Product InnovationRyan leads the product innovation team at Medullan. His expertise includes market research and analysis, program management, agile delivery excellence, and lean start up.
3page© Medullan Inc.
Today’s Discussion
What are the possibilities?
What are the challenges
What’s an insight? What’s an actionable insight?
Case studies
How we see the world: Insight. Action. Measure.
Q&A
1
2
3
4
5
6
4page© Medullan Inc.
BACKGROUND:
Healthcare data
So, where can data help in healthcare?
160 Exabytes = 1.3B Terabytes
Would take Watson 82 years
Real-time capture, real-time results
Data sources
and types are on the
rise
Can I trust the
data?
5page© Medullan Inc.
Where can data help in healthcare?
There is massive potential benefit locked in healthcare’s data.
Population health
management
Precision medicine
Care optimizatio
n
R&D productivity
6page© Medullan Inc.
Where can data help in healthcare?
There is massive potential benefit locked in healthcare’s data. Today we’ll focus on Population Health.
Population health
management
Precision medicine
Care optimizatio
n
R&D productivity
7page© Medullan Inc.
What are the opportunities in Population Health?
Bend the curve of avoidable costs
Value comes from the market’s ability to
effectively use its data to invoke the right actions.
Time
Cost
Identify at-risk members
Validate efficacy and refine
Design interventions
!̀
8page© Medullan Inc.
Data
Volu
me
Value
The insight value chain
9page© Medullan Inc.
InfoData
Volu
me
Value
The insight value chain
“has context,
10page© Medullan Inc.
InsightInfoData
Volu
me
Value
The insight value chain
“has context, is well understood,
11page© Medullan Inc.
Actionable InsightInsightInfoData
Volu
me
Value
The insight value chain
“has context, is well understood, and delivers value if addressed.”
12page© Medullan Inc.
Actionable InsightInsightInfoData
Volu
me
Value
The insight value chain
Ability to take an action
that will have an Impact
“has context, is well understood, and delivers value if addressed.”
13page© Medullan Inc.
Key challenges in getting to actionable insights
Technology limitation
Lack of experience and skill set
Unclear measures and metrics
The best efforts of today don’t effectively turn data into actionable
insights.
Data relevance
result
No clear ROI
Cultural shift required
Data silos
14page© Medullan Inc.
What makes something insightful?
Answers questions specific
to a broader problem or need
Unearths an issue or opportunity that you
were not aware of
Can be understood
by all stakeholders
An insight’s value is not proportionate to the volume, variety, or velocity of its source
data.
so what
pharmacy
wellness
Health Coach
member profile
explanation of benefits
incentives Plans
enrollment
claims statements
secure messagingphysician finder
physician finder
personal health record Benefits
Helps you predict what might happen if no
change is made
15page© Medullan Inc.
What makes something actionable?
Has a high potential of
being actualized
Offers clear benefit if acted
upon
Benefit can be tracked
and measured
Specific contributing factors are understood
Not all actions return the same benefit or require the same effort. It’s important to
prioritize.
so what
16page© Medullan Inc.
INSIGHT #1:
Spouses Driving Cost Trend
The spend trend for spouses was getting worse, but was
changing that trend actionable?
2011 2012 2013 20140
100
200
300
400
500
600
700
800
Spouses
Em-ployees
PMP COSTS
17page© Medullan Inc.
INSIGHT #1:
Spouses Driving Cost Trend
2011 2012 2013 20140
100
200
300
400
500
600
700
800
Spouses
Em-ployees
PMP COSTS
✔ Contributing uncovered using existing analytics solution
✔ Agreement was reached at the employer that this was a priority
✔ Analytics partner determined benefit opportunity and track intervention impact
✔ Current wellness partner could utilize current touch points to augment current program
YES.
18page© Medullan Inc.
INSIGHT #2:
Gaps in Care Worsening for Diabetics
Diabetic costs doubled in 1 year for essentially the same
population. Was that insight actionable?
Total Health Plan Claims
Pharmacy Claims
Office Visit
Outpatient
Inpatient
Medical Claims
$- $3,000 $6,000 $9,000 $12,000 $15,000
20142013
19page© Medullan Inc.
Total Health Plan Claims
Pharmacy Claims
Office Visit
Outpatient
Inpatient
Medical Claims
$- $3,000 $6,000 $9,000 $12,000 $15,000
20142013
INSIGHT #2:
Gaps in Care Worsening for Diabetics
✔ Contributing factor quickly identified - increasing gaps in care contributing to >1600% PMPY inpatient claims increase. If gaps in care continued, the trend likely to continue
✔ Agreement that the benefit opportunity, (short and long term), made this worth pursuing
✔ Existing analytics partner was able to provide data for partner plan review, as well as vendor opportunity assessment if that becomes the right action.
YES.
20page© Medullan Inc.
HOW WE SEE THE WORLD:
Insight. Action. Measure
INSIGHT
OUTCOME& LEARNING
RIGHT PEOPLE
RIGHT INTERVENTION, RIGHT TIME
RIGHT REFINEMENT
S
Identify the right people and get them to act with the right
intervention.
1
2
3
ACTION
MEASURE
21page© Medullan Inc.
Questions?
22page© Medullan Inc.
Join us for the next in our 3 part series
#1 INSIGHT
Finding Actionable
Insights
Aug 5, 2pm
#2 ACTION #3 MEASURE
Getting Members to Act
Aug 19, 2pm
Measuring Effectiveness
Sep 9, 2pm
See info.medullan.com/webinars for more details.
SOLD OUT
See Clearly | Take Action | Save Money
We have one goal.
To enable every company, regardless of size, to understand and lower its healthcare costs.
25page© Medullan Inc.
Better LivesI N N O V A T I O N
F O R
We improve the healthcare experience through human-centered
digital solutions