BCBS Sharecare Brings Data-Driven Healthcare to the Forefront

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BCBS Sharecare is revolutionizing the way healthcare is delivered and experienced. It's a data-driven approach that puts patients at the forefront.

By leveraging cutting-edge technology and innovative solutions, BCBS Sharecare is making healthcare more personalized and accessible. This means patients can take a more active role in managing their health.

One of the key features of BCBS Sharecare is its focus on prevention and early intervention. By identifying potential health risks, patients can take proactive steps to prevent chronic diseases and improve their overall well-being.

Provider, Practice, Network Performance

Blue Cross is looking to optimize its network of healthcare providers to increase consumer price and cost transparency. By partnering with Sharecare, Blue Cross will be able to steer patients to providers with higher-quality performance.

Walmart has already made significant strides in this area, with its Center of Excellence Network aiming to reduce unnecessary spinal surgeries. The company estimates that nearly a third of spine surgeries are unnecessary, and has contracted with 12 high-quality hospitals to offer the procedures.

Credit: youtube.com, How to Find a Provider on BCBS

Walmart's vice president of health transformation, Marcus Osborne, has pushed the idea of "optimized networks" to increase consumer price and cost transparency. This approach is seen as a key component of value-based care, which aims to reduce spending on preventable or controllable health conditions.

Here are some key statistics on Walmart's efforts to improve healthcare outcomes:

  • Walmart has contracted with 12 high-quality hospitals to offer spinal surgeries.
  • The company estimates that nearly a third of spine surgeries are unnecessary.
  • The Center of Excellence Network aims to reduce unnecessary spinal surgeries.

Value-Based Care

Value-Based Care is a clear direction for healthcare providers, and Sharecare makes it easy with a complete payments dashboard. This dashboard provides clear direction and specific actions to improve patient health outcomes and maximize revenue.

Sharecare aligns itself with providers and their staff to offer a performance guarantee agreement for every customer. This is a big deal, as it takes the risk out of trying new approaches to care.

The Sharecare dashboard helps providers navigate complex regulations like MIPS, MACRA, Bundled Payments, ACO, CIN, PCMH, and many more. This is a huge administrative burden, but Sharecare's dashboard makes it manageable.

Providers can use real-time patient data to identify, measure, and report on patient populations against all CMS and health plan standard sets of quality care metrics. This is crucial for compliance and reimbursement.

Sharecare offers exclusive MIPS QCDR quality measures, giving providers a competitive edge.

Data-Driven Healthcare

Credit: youtube.com, Frankly Speaking: Jeff Arnold, Co-founder, Chairman & CEO of Sharecare

Blue Cross Blue Shield of Arizona (BCBSAZ) is working with Sharecare to improve patient access and healthcare outcomes. This partnership will provide BCBSAZ members with incentives for meeting goals, access to claims data, and lifestyle coaching.

The company has 500 coaches and nurses, and programs for users with chronic conditions, such as diabetes. Sharecare's platform includes health risk assessment tool RealAge, symptom checker AskMD, and targeted messaging to prompt healthy habits.

BCBSAZ members will also have access to customized rewards programs, wellness challenges, and health screening options through Sharecare. This data-driven approach aims to enhance the performance of healthcare practices and improve the value of healthcare for all Arizonans.

Dive Insight: In-Depth Analysis

Value-based care is on the rise, and insurers are looking for ways to lower costs while growing customer loyalty. This approach focuses on patients taking an active role in improving and maintaining their health, reducing spending on preventable or controllable health conditions.

Credit: youtube.com, Carestation Insights: Advanced analytic platform helps make data driven decisions | GE Healthcare

Patient engagement is a key aspect of value-based care, and Sharecare has developed a platform to help with this. In 2017, the company raised over $100 million in funding, one of seven startups to do so in the first half of the year.

Insurers like Blue Cross are partnering with Sharecare to offer additional services to customers. Starting in 2019, Blue Cross customers will be able to access customized rewards programs, wellness challenges, and health screening options through Sharecare's platform.

Walmart is also making a big push into healthcare, with a focus on reducing unnecessary procedures and improving quality of care. The company's Center of Excellence Network aims to reduce unnecessary spinal surgeries by incentivizing specialists to provide appropriate treatment.

By creating optimized networks, Walmart hopes to increase consumer price and cost transparency and steer patients to providers with higher-quality performance. This approach is part of a growing trend in healthcare, where companies like Sharecare are using behavioral economics strategies to influence patient behavior and ultimately bring down costs.

Using Data for Healthcare Success

Credit: youtube.com, Data-Driven Health Care

Focusing on data accuracy and relevance can enhance the performance of healthcare practices.

By leveraging data, healthcare practices can make informed decisions and improve patient outcomes. This is especially true for Blue Cross Blue Shield of Arizona, which has partnered with Sharecare to provide its members with access to claims data and in-network providers.

The app also offers custom challenges and lifestyle coaching, which can be especially helpful for users with chronic conditions, such as diabetes. Sharecare has 500 coaches and nurses on staff to support these efforts.

Blue Cross Blue Shield of Arizona has a strong commitment to improving the value of healthcare for its members and the wider Arizona community. This dedication is reflected in its partnership with Sharecare, which aims to help people build longer, better lives.

Founded in 2009, Sharecare has raised over $425 million in funding to date. The company has also made a string of acquisitions, including Biolucid, which creates VR technology for healthcare, and Feingold Technologies, which makes a voice analysis tool.

High-Risk Population Stratification

Credit: youtube.com, A Practical and Team-Based Approach to Risk Stratification for the Entire Patient Panel

High-Risk Population Stratification is a crucial aspect of BCBS ShareCare, allowing you to identify patients who are most likely to increase the cost of care due to high-risk conditions.

With this tool, you can create a patient population intelligence dashboard to monitor and manage high-risk patients. Automated reminders help ensure that timely screening occurs and care gaps are closed.

This approach enables you to provide maximum reimbursement based on the need to provide more care to achieve improved outcomes for these high-risk patients.

By using BCBS ShareCare's High-Risk Population Stratification, you can take a proactive approach to managing high-risk patients and improving their health outcomes.

Get to Know Your Health & RealAge

The RealAge Test is a scientifically based assessment that shows you the true age of the body you’re living in. This tool assesses your eating, exercise, and sleep habits, along with your family history, behaviors, and existing conditions.

Learning your RealAge is the key to better understanding your well-being. You'll receive a personalized experience to help improve your health habits and earn points towards your annual program reward.

Credit: youtube.com, Find out your RealAge

Taking the RealAge Test provides you with information on how your lifestyle choices help you stay younger – or make you age faster – than your calendar age. It's a great way to take control of your health and make informed decisions.

You'll earn your first 120 points by completing the RealAge Test, and then you can unlock your ability to earn more points towards your annual program reward.

Case Study: Wellvana

Wellvana partnered with Sharecare to deliver value-based care through a Care Integration Network/Accountable Care Organization (CIN/ACO).

Over 300 independent physicians are involved in this partnership.

Their goal is to create a CIN/ACO that serves Medicare patients with value-based care.

The CIN/ACO model aims to improve health outcomes and reduce costs for Medicare patients.

This partnership is a great example of how healthcare providers and companies can work together to achieve better health outcomes and lower costs.

The Future

As we look to the future, BCBS ShareCare is poised for growth and expansion.

Credit: youtube.com, The Future of Deep Brain Stimulation (DBS) | Ask the Experts | Sharecare

The company plans to expand its geographic footprint, reaching more people and employers beyond Medicare.

This will allow BCBS ShareCare to provide its services to a wider audience and establish itself as a leader in the industry.

BCBS ShareCare aims to reach out to self-insured employers and payors, offering them innovative solutions and cost-effective plans.

By doing so, it will be able to tap into new markets and increase its revenue.

Tommy Weber

Lead Assigning Editor

Tommy Weber is a seasoned Assigning Editor with a keen eye for detail and a passion for storytelling. With extensive experience in assigning articles across various categories, Tommy has honed his skills in identifying and selecting compelling topics that resonate with readers. Tommy's expertise lies in assigning articles related to personal finance, specifically in the areas of bank card credit and bank credit cards.

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