Combining clinical and claims data may also show the need for an acute care clinic in a specific area to ensure patients have access to quality treatment while reducing the cost of unplanned care. It may even provide hard number justification for increasing the organization’s investment in care management programs, either in specific facilities or across the board.

Closing the gaps
On their own, clinical and claims data offer only a piece of the complicated health care puzzle. When combined together using next-generation analytics, however, the effect isn’t just additive. It’s exponential.
Implementing analytics that integrate these two valuable data sources with demographic, socioeconomic and other relevant population data will help health care organizations close knowledge gaps around care gaps and drive new insights that improve outcomes and efficiency, increase quality, reduce costs, manage provider and network utilization more effectively, and ultimately drive successful value-based outcomes.


About the Author: Eileen Cianciolo is chief product officer with SCIO Health Analytics. A seasoned health care executive, Eileen brings 25 years of experience in the health care industry, including leadership roles in product management, product development, and operations to SCIO.

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