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IBX Insights

Powering Better Health Care Through Data Analytics

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At Independence Blue Cross (IBX), we use data analytics to make informed and innovative decisions to power better health care for our members.

The simplest definition of data analytics is the science of identifying patterns in data and gaining insights from that data.

This involves using techniques, tools, and systems that help:

  • Gather and compile data points from an array of sources
  • Identify and clarify data patterns, trends, changes, and opportunities
  • Determine the correct action to achieve the best possible health outcomes

Actionable Insights and Customized Solutions

Our data, compiled from claims and internal reporting as well as vendor dashboards, enables us to have a complete and real‑time picture of our members’ health stories. This provides us with valuable insights that allow us to target unique, customized solutions for each member at each stage of their health care journey. For example, we can help answer questions like:

  • Since preventive health screenings can catch problems before they become more serious (and expensive), could members benefit from receiving screening reminders?
  • Are there any gaps in the care that members are receiving, such as annual A1C tests, biannual retinal exams, and kidney function testing for those diagnosed with diabetes?
  • Can members shift some of their health consultations from more costly settings (such as the emergency room) to less costly settings, such as urgent care centers, retail health clinics, and even telemedicine visits?

With insights from reports, dashboards, trends, benchmarks, and descriptive analysis, we can use what we’ve learned from the past to plan for future outcomes. We can also use techniques like predictive modeling, which can highlight relationships between events and issues and can help anticipate future occurrences.

Based on this information, we can serve up meaningful content via email or text message to members who are digitally engaged, no matter where they fall on their health journey. This may be encouraging a member to schedule their annual PCP visit, reminding someone to refill their prescription for antidepressants, or referring a chronically‑ill diabetic to a high‑touch care management program through our Registered Nurse Health Coaches.

These efforts can ultimately lead to healthier, happier employees and cost savings for both you and your members.

A graphic of a laptop computer with an email from IBX on it.
A graphic illustrating a sample member's journey through the healthcare process, enhanced by data analytics

Redefining Health Care Delivery to Advance Equity

Data analysis influences how quality‑based decisions are made at various levels to ensure that care is equitable, effective, affordable, and simple and is helping us advance our mission to improve health equity.

For example, we can create models to predict future hospitalizations and readmissions, the onset of diabetes, and the likelihood of high‑risk pregnancies — issues that affect communities of color at a higher rate — to make more informed decisions to help reduce racial health disparities and improve health outcomes.

An icon of a bullhorn with the word "Spotlight," alongside a photo of Elissa Mariscano

Elissa Marsicano is Director of Informatics Account Reporting and Analytics at IBX. In her role she oversees all commercial group utilization reporting, as well as digital marketing and sales analytics. She supports digital engagement strategies increasing member outreach effectiveness across all channels and oversees discount and repricing analytics. Since joining IBX in 2010, Elissa has held positions in Financial Planning and Analysis and Corporate Strategy before moving into her Data Analytics leadership role. She holds a Bachelor of Science in Accounting from King’s College in Wilkes-Barre, Pennsylvania.

This content was originally published in the Independence Insider email newsletter.

IBX Insights Team

The IBX Insights Team is here to provide tips on using your health insurance and living a healthy life.