Hidden in Plain Sight: Uncovering Claims-Based Insights to Build a Better Network
Healthcare executives at high-performing networks have learned through experience what drives their networks to achieve impressive results year after year. Now that they know what works, they’re not straying from that proven formula. In fact, they’re going one step further and sharing that knowledge to guide their peers on the right path forward – a path that is paved with data, data and more data.
The big idea is that many networks are not achieving their goals because they haven’t fully embraced a data-driven mindset or implemented a data-driven strategy. They’re still making assumptions about last year’s performance gaps and making educated guesses about why their shared savings fell short – but they don’t have real answers. That’s why they’re also not getting real results.
But what’s even more troubling is that they actually do have the answers. They just don’t know it. They’re simply not thinking about the knowledge that is hidden in plain sight – inside the messy, complicated, confounding, complex, but insight-rich claims data that is just waiting to be analyzed.



