Harvard Pilgrim Partners with Physicians to Close Gaps in Care

16 Mar 2017 9:28 AM | Brian Kelley (Administrator)

Retrieved from Yahoo Finance, February 16, 2017 

Harvard Pilgrim Health Care now offers physicians Data Diagnostics®, a point-of-care health analytics technology from Quest Diagnostics and Inovalon that is designed to help close costly gaps in care and  improve health outcomes.

Accessible through a physician’s existing electronic health record (EHR), Data Diagnostics produces patient-specific reports, often in seconds, that help inform clinical decisions, diagnostic coding and other actions that affect quality of care and reimbursement. Physicians can order these reports in real time through their EHR for eligible Harvard Pilgrim patients in Connecticut, Massachusetts, New Hampshire and Maine. No new technology, and minimal training, is required to order reports for patients.

 Harvard Pilgrim is committed to providing tools that support physician’s access to relevant data within the physicians current workflow. Data Diagnostics gives physicians the ability to order and access reports in real time in their existing workflow. The reports employ the EHR’s existing data on the patient as well as patient-specific information from Quest’s 20 billion lab test results and Inovalon’s 139 million unique patients within their MORE2 Registry clinical datasets.

 “One of Harvard Pilgrim’s goals is to empower our physicians to succeed under value-based care and innovative risk-sharing models,” said Gaurish Chandrashekhar, Director of Revenue Management, Harvard Pilgrim. “We believe Data Diagnostics may help enable this transition by supporting accurate clinical documentation, which is vital to risk accuracy and appropriate reimbursement, as well as improved quality. We expect this tool will strengthen our relationships with physicians while simultaneously improving provider-patient interactions, which is a win-win scenario.”

 Proper coding of a patient’s care supports high quality care as well as reimbursement under value-based care models that tie compensation to quality and outcomes rather than individual medical services.

 “The shift from volume to value is all about providing better care,” said David Freeman, general manager, information ventures, Quest Diagnostics. “Harvard Pilgrim has a track record of innovation in health care, and recognizes that good care and cost efficiency often go hand in hand. We look forward to providing Data Diagnostics and its actionable insights to Harvard Pilgrim-serving physicians to aid the delivery of quality care for patients.”

Read the full Press release here. 


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