Healthcare Payers

Cigna Targets Data Analytics Innovation with $250M Venture Fund

by Jennifer Bresnick

Cigna is planning to invest $250 million dollars in a new venture fund that will foster innovations around big data analytics, digital health strategies, and care management improvements. The new...

Humana Creates New Data Analytics, Digital Health Division

by Jennifer Bresnick

Humana has announced the launch of a new data analytics and digital health division, called Humana Studio H, which will focus on developing data-driven products and services for use across the entire...

Lack of Data Analytics Tools Deflates Faith in Value-Based Care

by Jennifer Bresnick

The road to value-based care has never been a smooth one, but healthcare providers and payers may be in the midst of a particularly bumpy part of the journey, reveals a new survey from Quest...

BCBSA Tackles Opioids with Big Data, Accreditations, Member Hotline

by Jennifer Bresnick

The Blue Cross Blue Shield Association (BCBSA) is taking additional steps to combat opioid abuse by leveraging big data analytics and offering more resources to patients and providers seeking to...

Can Big Data Solve the Health Insurance Transparency Problem?

by Jennifer Bresnick

Along with housing, food, and transportation, healthcare is one of the biggest monthly expenses for American families – and the specter of an unexpectedly high bill for a major illness or surgery...

Patient-Centered Medical Home Has Saved Payer $1.2B Since 2011

by Jennifer Bresnick

CareFirst BlueCross BlueShield has saved nearly $1.2 billion – yes, billion – since 2011 by implementing a patient-centered medical home (PCMH) model across ninety percent of its contracted...

Atul Gawande to Lead Amazon, Berkshire, JPMorgan Healthcare Company

by Jennifer Bresnick

Brigham and Women’s surgeon Dr. Atul Gawande will be leading Amazon’s most significant leap into the healthcare industry yet by becoming CEO of the partnership between the e-commerce giant,...

Provider Data Management Offers Payers a Blockchain Use Case

by Jennifer Bresnick

Moving provider directories onto a blockchain could offer payers a high-value use case for exploring the role of distributed ledgers in healthcare data management, assert Humana and Ernst & Young...

AI, Big Data, IoT Bring Growth to Multiple Healthcare Markets

by Jennifer Bresnick

Big data analytics tools and services are poised to bring unprecedented growth to almost every segment of the healthcare IT marketplace, according to the latest series of market reports.  From...

Da Vinci Project Brings HL7 FHIR to Payers for Big Data Analytics

by Jennifer Bresnick

In just a few short years, HL7 FHIR has exploded in popularity to enable unprecedented connectivity across the healthcare ecosystem.    The internet-based data standard has started to hit...

Clinical Analytics Aid Payers, Providers with Value-Based Care

by Jennifer Bresnick

Clinical analytics and data integration are helping health payers and providers boost quality and meet the challenges of value-based care, says the 8th Annual Industry Pulse Report from Change...

Meeting the Challenge of Healthcare Consumerism with Big Data Analytics

by Jennifer Bresnick

As the remarkable, eventful year of 2017 lumbers to its cold and snowy close, healthcare organizations may feel as if they are starting 2018 on an unstable footing. From tragic natural disasters and devastating ransomware attacks to the...

How the CVS, Aetna Deal Will Overhaul Healthcare Big Data Analytics

by Jennifer Bresnick

The CVS Health takeover of Aetna has technophiles and analytics pundits abuzz for a number of reasons, many of which have to do with the fundamental reshaping of the consumer landscape in Jeff...

Humana Pins Social Determinants of Health to Better Quality of Life

by Jennifer Bresnick

Taking a proactive approach to addressing the social determinants of health within a patient’s community can translate into measurably higher quality-of-life scores, Humana says in a new...

Humana: Can Artificial Intelligence, NLP, Voice Tools Revamp EHRs?

by Jennifer Bresnick

Electronic health record (EHR) developers and consumer tech companies aren’t the only ones who believe that healthcare’s big data could use a massive makeover with the help of artificial...

IBM: Blockchain, Artificial Intelligence Combo to Alter Healthcare

by Jennifer Bresnick

The combination of blockchain and artificial intelligence could bring significant improvements to a healthcare sector plagued by interoperability problems and big data analytics shortfalls, says IBM...

Blockchain Aims to Foster Payer, Provider Trust for Value-Based Care

by Jennifer Bresnick

As the healthcare industry slowly becomes more connected and more interoperable, organizations are attempting to implement data management strategies that balance privacy and security with collective...

Five Blockchain Use Cases for Healthcare Payers, Providers

by Jennifer Bresnick

The distributed ledger methodology known as blockchain is piquing interest in the healthcare industry as organizations search for more secure and trusted strategies for managing big data.  By...

Blockchain Activity Grows Sharply for Healthcare Payers, Providers

by Jennifer Bresnick

Blockchain has come to healthcare in a big way during 2017, generating significant interest among providers and payers as an innovative way to bolster data exchange while keeping sensitive information...

Borrowed from Retail, Anthem’s Big Data Analytics Boost Member Engagement

by Jennifer Bresnick

Commercial insurance companies are facing innumerable challenges as internal and external changes continue to buffet the healthcare industry.  As both leaders in the field of value-based care and...