Analytics Technology by Harvard Pilgrim to Advance Quality and Affordable Care


Published Date : Aug 01, 2017

Achieving the twin objective of quality and affordable patient care is a win-win scenario in the healthcare industry world over. To this end, the potential of a number of methods and transaction-based tools are being explored passionately. These technologies facilitate healthcare providers and physicians in making an effortless transition from volume- to value-based care, a model that underpins better patient outcomes and favorable reimbursement mechanism.  

A recent offering in point-of-care health analytics technology by Harvard Pilgrim Health Care, a U.S.-based not-for-profit health services company, promises to do just that—plugging gaps in quality care and improving patient outcomes. The technology is called Data Diagnostics and has been developed by Quest Diagnostics and Inovalon.

New Analytics Tool Empowers Harvard Pilgrim Physicians to Support Value-Based Care

Clinicians can access Data Diagnostics through the already available electronic health record (EHR) and use this to generate patient-specific reports in nearly real-time. These reports can be used for improving care for numerous Harvard Pilgrim patients in states such as New Hampshire, Connecticut, Massachusetts, and Maine. Within the existing workflow physicians can use this, and with little expertise, to inform diagnostic coding and other clinical decisions, thereby improving the quality of care and reimbursement.

Furthermore, the technology offers accurate clinical documentation, which is likely to empower physicians to successfully adopt value-based care and useful risk-sharing reimbursement models. Data Diagnostics is poised to offer physicians serving Harvard Pilgrim a proper coding of a patient's care and help them link compensation to quality and outcomes, instead of individual medical services. Such technologies go a long way in boosting provider-patient interactions, opines Quest Diagnostics.