Clinical laboratories and pathology groups have an opportunity to fortify their position with their payers. Payers recognize that lab data is a critical gap in their data assets. In order to improve patient health and population health outcomes, payers require critical patient population health data that only laboratories have. This puts laboratories in a unique and powerful position to strategically partner with payers by providing access to laboratory data.
Historically, extracting data and creating analyses specifically for payers have been extremely time consuming, costly, and a burden on a laboratory’s internal resources. How does your laboratory capitalize on data assets in ways that position your laboratory as a payer partner?
Cloud-based laboratory analytics for payers
In a world of declining reimbursements and increased payer report requests, it is important for labs to provide value-added solutions to key constituents across the healthcare system, including payers. This means laboratories have an opportunity to adopt business intelligence (BI) solutions, which help strategically align laboratories with payers, providing a potential advantage during negotiations.
With increasing payer report requests, laboratories are beginning to realize they need to adopt solutions that enable the aggregation of billing information with test results. One way to strengthen relationships with payers is by implementing a web-based payer data portal, which allows payers access to the data that matters most to them. This will provide detailed information for payers without burdening the laboratory’s internal resources — such as IT or analytical staff — each time these requests are made. The transformation, timely delivery, and use of these analyses is not only critical to the laboratory, but to the healthcare system at large, including payers. However, limitations of current laboratory information systems have crippled the ability of laboratory organizations to easily extract, monitor, and share the information assets they produce.
Payer member population health analyses
Laboratories also house important data concerning population health. With access to cloud-based, payer-specific portal solutions, payers will have the ability to quickly access this information, drill down into the raw data, and flexibility to analyze the data to address their complex and dynamic requirements. The ability to access the supporting data behind each analysis is critical to effectively monitor patient populations.
Ideally, a payer-focused business intelligence solution aggregates your lab’s billing information along with results data, to provide payers with a way to access this data in a variety of formats. Being able to access this data securely and on demand empowers payers to meet their reporting and analytics requirements, frees up IT staff to focus on other priorities, and delivers executives additional value they can bring to their payer partnerships.
To learn more about the Viewics payer analytics solution, download our eBook, Strategic Planning for Laboratories.