New Orleans-based Blue Cross Blue Shield of Louisiana chose Chicago-based healthcare database Blue Health Intelligence's risk adjustment solution to determine the insurer's commercial risk adjustment.
The solution, called Xchange Advisor, identifies diagnosis coding and quality gaps through advanced analytics and predictive models. The solution uses workflow management tools to help plans track and monitor results to operationalize risk adjustment programs and yield maximum financial and health management impact.
"We are committed to innovating and applying cutting-edge healthcare technology to our claims data in ways that improve our customers' access to quality, affordable healthcare," Brian Keller, BCBS of Louisiana senior vice president of sales and marketing said in a statement. "We look forward to using Xchange Advisor to further this work."
More articles about payer issues:
What Americans told this biking physician about the ACA
New Hampshire gubernatorial candidate: Medicaid expansion maintains poverty
CareFirst defends large rate hikes in Maryland