Data management gets lost in the enthusiasm around Artificial intelligence (AI) and machine learning (ML). Not surprising, when it's an algorithm that decides what search results to show you, guides the self-driving cars on the roads, and powers the anti-fraud bots that monitor every credit card transaction we make. Charles
Tag: health care
Today’s Medicaid environment is drastically different from that 5, 10 or 20 years ago. Medicaid enrollment has grown to monumental heights with recent CMS numbers (April 2015) at over 70 million. As enrollment rises, concerns about efficient management of care access, cost, quality, and effectiveness have become even more prominent.
The physical and social costs of untreated mental illness are significant and have been discussed in detail in previous posts. Now let’s talk about the immense financial costs, then I’ll wrap up the series with a conclusion. The financial costs cover a broad cross-section of society, including government services and
Last week I discussed factors that threaten access to mental health care. However, better access to care doesn’t always mean better quality of care. Overworked mental health professionals and overcrowded ERs are forced to expend efforts and limited resources where they have the most impact. This forces compromises in care.
Part 1: The challenge and the opportunity Mental illness continues to profoundly affect the nation’s population and, for the most part, remains greatly under analyzed. This is the first entry in a series about the mental health problem in the US, and how an analytic approach can improve care for
With all the changes the Affordable Care Act brings, including new care and payment models, there is an increase in provider’s need for data. While some large health systems are able to learn much about a patient’s full course of treatment by integrating their systems, the majority of health care
The creation of Health Information Exchanges (HIEs) took off in 2009 with the establishment of the State Health Information Exchange Cooperative Agreement Program (SHIECAP). Recently, it seems like HIEs have been somewhat of the middle-child, garnering less attention between the health insurance exchanges and Medicaid expansion. But let’s take a
If you haven’t heard of an APCD, it’s one of those acronyms you need to know. All-Payer Claims Databases are simply databases that consist of claims data from all health care payers in a given state. This includes private payers such as Blue Cross Blue Shield, and public payers such
As SLG’s health policy specialist, I’m chartered with developing novel ways to apply data analytics to our state government health systems. If you ask me, it’s the perfect blend of technology and policy - two of my favorite things. However, I sometimes find it challenging to identify the areas within
Recently, there has been lot of uproar and confusion about the Supreme Court ruling on the constitutionality of the Affordable Care Act. Many were surprised by the ruling, and others, while happy it was upheld, are concerned about the constitutional questions that arose due to the way the ruling was