Bridging to Better Population Health - Concord eBook

Obstacles in Creating a 360° View of Patient Data

More Complete Patient Understanding Through Shared Data Payers and providers are rich with data, but it's not suiciently leveraged. There are too many gaps, disconnects, and misalignments. Additionally, payers and providers see patients—and their risks—dierently. But imagine the impact if we were able to move the definitions closer together: more eective population health strategies, seamless authorizations, better customer experience, among other opportunities. To do this, payers and providers need to share data. Merging will require diligent focus as the historical systems and structures are a puzzle that will need to find a way to fit together. In addition, there are philosophical, regulatory and strategic questions that should be reconciled between the parties such as: How do we share population data in a HIPAA-compliant way? How will we use the merged data to create a more holistic view of patients and populations? Can we trust the data? How accurate is it? How do we prioritize where to focus our eorts? Committed interest, time, and technical expertise could close the data gap. But first, there needs to be an agreement that patient outcomes come first. By coming together to support this shared goal, payers and providers will improve their understanding of populations and their risks.

Data standardization

Technical interoperability

Poor shared data quality

Statistic Source: "EHealth Initiative Releases Survey on Onc and CMS Final Rules." Executives for Health Innovation, 11 Nov. 2020.