Blue Health Intelligence: Demystifying Healthcare Data

Swati Abbott, CEO
“Healthcare data is used to improve health outcomes by identifying trends and care gaps and implementing effective strategies that produce measurable results” says Swati Abbott, CEO of Blue Health Intelligence (BHI).

“We understand the challenges health plans face and provide them with actionable, data-driven insights that inform best practices to effectively address the needs of employers and their members,” says Abbott. “With an aim to create a national data warehouse in association with the Blue Cross Blue Shield health plans, our journey is empowered by 29 participatory plans.”

Abbott says that the national data warehouse, robust analytic solutions, and consulting services led by industry experts are BHI’s key differentiators. “We understand the significance of information security and follow SOC2 reporting as well as HIPAA and NIST cybersecurity guidelines.”

“BHI has a comprehensive understanding of plans’ business needs and the data to deliver solutions that produce meaningful results,” says Abbott. “All BHI solutions have experienced product development teams, who incorporate the business need into our wide-ranging capabilities. BHI’s innovative analytic solutions are designed to provide customizable account reporting and create predictive models, and one example is our hospital performance measurement solution. It’s based on healthcare expenditure and provider information, so if a member queries for a cardiac care provider in terms of the quality and cost, we can resolve it immediately.”

BHI’s Analytic Consulting team combines the power of the BHI data with their strong business acumen and analytic expertise. To support health plans’ national and cost management and revenue maximization strategies, they perform deep dive analytics and focus on the most impactable conditions.

Our work with health plans has significantly improved health outcomes

“To address health plans’ evolving needs and provide them with a robust account reporting solution, BHI developed WHYZEN Analytics,” says Abbott. WHYZEN processes information about nationwide healthcare providers and it analyzes key parameters like cost and quality of care. It presents information about the healthcare expenditure and better economical alternatives. WHYZEN offers next generation technology, providing health plans with access to an account reporting solution that is fast, visually driven, and device friendly, as well as offering an explorative data model with row-level security and product extensibility.

Abbott states that BHI’s strategy has always been built around the needs of health plans and their customers, providing them with greater value. “We provide them with reliable healthcare data and effective strategies to improve the health of their members and manage costs and risk.”

“For example, we worked closely with a BCBS health plan and their large employer customer with a nationwide presence to improve health outcomes. We leveraged our national data warehouse to inform their healthcare service offerings and uncovered the key drivers of cost. Our approach involved a deep dive analysis of hospitals and quality rankings. We found that by utilizing higher performing facilities resulted in higher quality care and savings of more than $200 million for the employer. In-depth knowledge of data analytics and visualizations enables us to craft success stories for health plans and their customers by solving their business challenges,” says Abbott.

Blue Health Intelligence News

BHI Honored as one of a Handful of Firms to Make the Cut in Rounds of Digital Health Innovation Awards for its Response to the COVID Crisis

SAN FRANCISCO - Blue Health Intelligence® (BHI®) was among a group of select companies considered for the 2020 UCSF Digital Health Innovation Awards, which recognizes "companies that are defining the digital health revolution." BHI was a contender for a COVID-19 Patriot Award for "digital products that have aided in the response to the global pandemic." BHI's entry was centered on the expansion of its Whyzen Analytics platform to help assess members' risk of severe cases of COVID and design better interventions tailored to what users are experiencing at the account level.

It's the second year for the awards, created by UCSF Health Hub, the University of California at San Francisco's health incubator. More than 750 companies applied this year. The awards are co-sponsored by 50+ healthcare innovation centers, dozens of sponsoring venture capital firms, leading healthcare and technology industry service providers, and health systems around the country.

Over 100 of the nation's leading digital health luminaries and venture capitalists are judging the contest, "looking for the latest commercial, in-market technologies and solutions that have been proven to dramatically transform healthcare and radically improve patient outcomes, while reducing the onerous cost burden that America faces," UCSF Health Hub said.

"We are thrilled to have been considered for what has fast become one of the nation's most prestigious healthcare tech awards program," said Swati Abbott, BHI's CEO. "I am so proud of what our team accomplished in such a short period of time to help address this unprecedented healthcare crisis and help employers, brokers, and health plans find actionable solutions in a time of uncertainty."

As the pandemic took hold, it became critical for Whyzen users to know which of their accounts' members/employees had underlying health conditions that placed them at elevated risk for COVID-19. The resulting enhancements to Whyzen visually identified where members/ employees reside within service areas and provided heat maps of their varying risk statuses. Users can understand how COVID-19's geographic variability affects risk and prevalence, and isolate and make transparent the relationship between a broad range of social determinants of health and the risk of specific adverse outcomes from COVID-19.

Also being analyzed through Whyzen are the longer-term impacts on population health and quality from shifting sites of care away from the ED and hospital-based outpatient sites, and deferring care such as postponed surgeries, diagnostic tests, and immunizations. With virtual care on a sharp upturn in the wake of the pandemic, users also can discover COVID-19's impact on telehealth costs and utilization, including how that service is used by different specialists and for different conditions, including behavioral health and substance abuse.

"I'm incredibly proud of the BHI team for this recognition," said Mary Henderson, BHI's senior vice president of Product Strategy and Innovation. "Our clinical, consulting, and product development units have been working on this issue since the very beginning “ compiling clinical knowledge, anticipating customer needs, and developing prototypes. It's been very collaborative and it has taken place in a very fluid situation. As the implications of the disease have changed and become more pronounced, we have regularly updated our analytics to meet the needs of our clients."

Blue Health Intelligence

Chicago, IL

Swati Abbott, CEO

Blue Health Intelligence is the nation’s premier resource for data-driven insights about healthcare trends and best practices, promoting healthier lives and more affordable access to safe and effective care. Blue Health Intelligence (BHI) is a trade name of Health Intelligence Company, LLC., an Independent Licensee of the Blue Cross Blue Shield Association

Blue Health Intelligence