Health Catalyst analytics to improve risk stratification, quality scores and collaboration with care providers for Hawaii’s third-largest health plan
HONOLULU and SALT LAKE CITY—November 7, 2017— AlohaCare, a nonprofit health plan serving nearly 70,000 Medicare and Medicaid beneficiaries in Hawaii, and Health Catalyst have teamed up to accelerate AlohaCare’s quality and cost-saving initiatives. The partnership reflects AlohaCare’s strategic response to the increasing prevalence of pay-for-quality initiatives that tie government reimbursement for medical services to the quality of that care.
Founded in 1994 by Hawaii’s community health centers, AlohaCare partners with nearly 3,500 physicians and specializes in Medicare and QUEST Integration health insurance, a Medicaid managed care program under the Hawaii Department of Human Services (DHS). As a result, AlohaCare’s revenue comes largely from DHS and the federal Centers for Medicare and Medicaid Services (CMS) and is increasingly based on the quality of care its members receive.
AlohaCare will leverage Health Catalyst’s deep experience analyzing healthcare data from hundreds of sources for America’s largest health systems, health plans, and commercial payers to provide quality care to its members and ensure effective use of government funds.
“Unlike most analytics providers in the health insurance space, Health Catalyst has deep insight into healthcare data, which is critical to understanding and improving the quality and cost of care,” said Todd Morgan, Chief Information Officer at AlohaCare. “And because they have a wide footprint within the provider community in Hawaii, we believe we’ll be able to collaborate more effectively with providers while working seamlessly with the state to enhance our quality scores and reimbursement.”
AlohaCare will deploy the Health Catalyst Data Operating System (DOS™), a revolutionary digital platform that transforms raw data from any source into Deep Data. By providing a complete picture of the past while delivering real-time insights within the right workflows in the present, DOS gives providers the power to predict and improve future outcomes. Based on modern software and data engineering tools adopted from Silicon Valley, DOS combines the features of data warehousing, clinical data repositories, and health information exchanges in a single, common-sense technology platform.
Working with AlohaCare’s existing IT systems, DOS will serve as the health plan’s digital backbone, with the ability to integrate critical data from over 200 of the most popular data sources, including third-party electronic medical records (EMRs), data warehouses, claims processing systems, financial systems, wearables, genomics, and socio-economic indices. Moreover, DOS includes a vast suite of products and analytic accelerators that are optimized with machine learning and natural language processing. These flexible solutions will help to meet AlohaCare’s needs for population health and accountable care, financial decision support, and operational performance improvement initiatives.
“We are thrilled that AlohaCare has chosen to partner with Health Catalyst to gain a better understanding of the quality and cost of care their members receive,” said Dan Burton, CEO of Health Catalyst. “As payers like AlohaCare come under increasing pressure to demonstrate quality, the need for rich data from clinical systems and other sources beyond claims is rapidly accelerating. We are fortunate to help provide those insights to benefit AlohaCare and, most importantly, AlohaCare’s members.”
AlohaCare will have access to Health Catalyst’s entire library of technology solutions and content culled from its outcomes-improvement work with health systems and payer organizations across the country. The partnership with AlohaCare solidifies and accelerates Health Catalyst’s footprint in the Medicaid Managed Care market.
AlohaCare is Hawaii’s third largest health plan dedicated to meeting the health needs of underserved communities throughout the state. AlohaCare is a local, non-profit health plan founded in 1994 by Hawaii’s community health centers. AlohaCare provides health care coverage for Hawaii’s QUEST Integration (Medicaid) and Medicare beneficiaries statewide.
About Health Catalyst
Health Catalyst is a next-generation data, analytics, and decision-support company committed to being a catalyst for massive, sustained improvements in health care outcomes. We are the leaders in a new era of advanced predictive analytics for population health and value-based care with a suite of machine learning-driven solutions, decades of outcomes-improvement expertise, and an unparalleled ability to integrate data from across the healthcare ecosystem. Our proven data warehousing and analytics platform helps improve quality, add efficiency and lower costs in support of more than 85 million patients for organizations ranging from the largest US health system to forward-thinking physician practices, health plans and commercial payers. Health Catalyst’s technology and professional services help to keep patients engaged and healthy in their homes and workplaces, and to optimize their care when it becomes necessary. We are grateful to be recognized by Fortune, Gallup, Glassdoor, Modern Healthcare and a host of others as a “Best Place to Work” in technology and healthcare.
SOURCE: Health Catalyst