Web Cast

BCBS TN - Quality Care Engine: A Patient Centric Approach to Supplemental Healthcare

In the healthcare industry, provider/payer collaboration is imperative. Healthcare corporations have to look to information gained outside of standard claims data to provide a holistic patient view. Supplemental sources provide insights into patient care that the payer never had access to before. Blue Cross Blue Shield of TN has created a quality care engine that integrates supplemental data from various sources, cleanses the data and then places in a normalized structure for consumption in downstream processes. The supplemental data repository contains sources such as lab feeds, electronic medical records, immunizations, patient assessment forms and attestation data written back from their Pay for Quality applications. All of the data processing is pushed into Teradata. During this presentation, Blue Cross Blue Shield of TN will discuss their supplemental data repository and how it drives all company processes.