Tuesday 29 September 2015

BCBS Health Plans Contribute Cost, Quality Data to New Repository

Last week, the Blue Cross Blue Shield Association announced that all 36 independent BCBS plans will contribute information to a new repository designed to help lower costs and improve quality of care,Healthcare IT News reports (Miliard, Healthcare IT News, 9/25).

Database Details

The platform will be housed on the Blue Cross Blue Shield Axis database, which already includes information on:

  • $350 billion in annual claims
  • 36 million provider records; and
  • More than 700,000 BCBS patient reviews (Walsh, Clinical Innovation & Technology, 9/25).

The new information will include plans’ cost and quality data from the last three years, according to Maureen Sullivan, senior vice president of strategic services and chief strategy officer at BCBS.

According to Health Data Management, the new repository, which can be accessed through individuals’ health plan websites, is already live with cost and quality data and reviews in some markets.

BCBS plans to update the repository to also include:

  • Information on experience levels and other aspects of providers’ work, such as readmission and infection rates;
  • Explanations of specific procedures; and
  • Tools to help steer members toward better care and outcomes (Goedert, Health Data Management, 9/25).

Security Protections

Sullivan noted that information on the Axis database will be de-identified.

Further, BCBS CIO Doug Porter said the board has taken steps “to make sure that we’re scanning all of our environments for appropriate controls and to make sure that we don’t have any evidence of any compromises of our infrastructure” (Small, FierceHealthPayer, 9/24).

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