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Better Data Tools Help You Create Member-Centric Care Plans

BLOG | March 8, 2024

All types of healthcare organizations – from large national payers to small provider clinics – struggle with disparate patient and member data. The ability to bring together data on patients and members from all the available sources is key to creating and executing member-centric care plans. 

Many organizations leave the details on data ingestion, aggregation, storage, and sharing to IT teams, but understanding how your analytics, care, and payment applications bring together disparate data can help you choose the tools best suited for your member population.

STEP 1: EFFICIENTLY INGESTING DATA FROM MULTIPLE SOURCES

The data onboarding process certainly isn’t the most exciting part of implementing new healthcare tech. But getting this part of the process right will lay the foundation for success using your analytics, care, and payment tools in the future.

Cedar Gate’s data onboarding process pulls together more than 40 disparate data types, with direct experience collecting data from over 350 vendors. Our file mapping tools understand data layouts, extraction, transformation, and loading (ETL) for each vendor. Once the information is in our system, it goes through a rigorous quality assurance process to validate the content and resolve any issues. By minimizing manual data extraction and ingestion, your team saves time and avoids common errors that can negatively impact analytics outputs in the future.

STEP 2: ENRICHING DATA TO IMPROVE ANALYTICS CAPABILITIES

Having a dataset that is clean and normalized is important, but depending on where the information comes from, it might not be enough. Cedar Gate’s proprietary data enrichment process takes it a step further. We combine claims, clinical, and social determinants of health (SDoH) data, then augment it with additional rules for calculating risk scores, identifying chronic conditions, avoiding adverse events, achieving quality metrics, monitoring utilization, and more. The dataset that comes out of Cedar Gate’s onboarding process is significantly larger than the data that went in. That enrichment process turns existing information into a data powerhouse that can yield a trove of critical insights for managing risk and improving care.

STEP 3: SHARING ACCURATE DATA ACROSS APPLICATIONS & TEAMS

When everyone on your team – as well as external care and provider partners – can share timely, accurate data, you can optimize member experiences and improve care quality and outcomes. The ability to share data seamlessly throughout your and your partners’ technology ecosystems unlocks critical analytics insights you can translate into actionable steps that address member needs.

Cedar Gate’s proprietary “data lake” stores all your member data in a single source of truth. It’s accessible from any of our Analytics, Care, and Payment applications. But we also have the tools to connect with existing technology so you can build the modular solution that makes sense based on your current tech stack, while still maintaining the benefits of seamless data sharing. Those data-sharing capabilities also minimize the risk of errors that arise when staff have to manually transfer member information from one system to another, adding another layer of protection to ensure optimal care.

STEP 4: STITCHING DATA TO EACH MEMBER FOR BETTER OUTCOMES

The ultimate goal of this entire data management process is to improve care for your members. Cedar Gate’s data management system sits atop a proprietary data lake, a single source of truth for all the information in your suite of solutions. That information is connected to each member that you serve, so anyone who collaborates in providing care and services to your members has the same clean, normalized, enriched data source. From there, provider partners can create actionable care plans to hit quality targets, reduce the total cost of care, and improve patient satisfaction.

In a value-based care world, the right data and the right data management tools can help you achieve all these things. Discover more about our composable suite of solutions for payers today.

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