PAYER A
Data Constraints
PAYER B
Patient Experience
Costly to make accessible
Incomplete and lacks a single source of truth
Challenging to report on and does not generate proactive insight
Access to Care
Quality of Care
Communication and Trust
Outcomes
Increased cost of care, reduction in membership growth, decrease in STARS rating, increased admin burden
Payer Outcomes:
Data Optimization
Patient Experience
Reduction in tech debt and cost burden
Incomplete and lacks a single source of truth
Reports provide a near-real time 360 view of the member with predictive insights
Access to Care
Quality of Care
Communication and Trust
Outcomes
Payer Outcomes:
Reduced cost of care, increase in membership growth, increase in STARS rating, decreased admin burden