Pay-for-service models are in decline, and managed care, together with initiatives like the Affordable Care Act, has changed the healthcare landscape. Improved cooperation between payers and providers is needed not only to support the delivery of higher-quality healthcare but also to reduce costs. Such cooperation is hampered by the challenge of coordinating data from disparate providers and their often proprietary systems. Problems are exacerbated by the reality that providers’ first priority is patient care, not data validation. Payers can’t control which systems providers and patients use, so it is difficult for payers to assimilate clinical data or collaborate effectively with providers. Despite these challenges, claims data must be connected with clinical data and third party information to enhance care coordination and support new payment models in a time when the amount of healthcare data is growing exponentially.
of individual contact information held by commercial healthcare payers is incorrect
of medical records have erroneous information tied to an incorrect identity
of individual contact information held by employers is incorrect
Trillium’s data quality solutions help health plans develop a consistent, unified understanding of their members. With Trillium, you can consolidate disparate data from different systems to develop a single view of a health plan member. Among other benefits, Trillium helps: