Blue Cross CIO: Big Data Can Fix Healthcare Quality, Costs - InformationWeek

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9/29/2015
11:06 AM
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Blue Cross CIO: Big Data Can Fix Healthcare Quality, Costs

The Axis big data initiative at Blue Cross Blue Shield Association incorporates more than $350 billion in annual claims, 36 million provider records, and more than 700,000 BCBS patient reviews, all with the goal of helping healthcare consumers make informed decisions. BCBSA CIO Doug Porter takes us through the project.
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(Image: s-c-s/iStockphoto)

(Image: s-c-s/iStockphoto)

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batye
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batye,
User Rank: Ninja
10/4/2015 | 3:05:39 AM
Re: Growth of applications
@Broadway0474 same here it interesting and much need it info, as we learn from each other.... as better security never ending process...
batye
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batye,
User Rank: Ninja
10/4/2015 | 3:03:43 AM
Re: Growth of applications
@moarsauce123, interesting point... as data security will always be a problem... how I see it... 
moarsauce123
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moarsauce123,
User Rank: Ninja
10/3/2015 | 7:18:44 AM
Re: Growth of applications
Yes, please, ask this CIO more questions, especially about patient/customer data security. After all, BCBS had one of the largest data breaches on record so far. Also ask why the BCBS response was lackluster at best but really more obnoxious. They offered two years of free ID theft protection although the personal data leaked jeopardizes identities for lifetimes. What good are two years of protection? The real kick in the head to the victims was that BCBS picked an ID theft protection vendor with dismal reputation and breaches of its own. What does that tell us? BCBS cheaped out on security to begin with and goes the bargain bin route with the response. And next year they jack up the access fees to their plans by 30%.

Healthcare cost can be effectively reduced by eliminating administrative overhead. Per doctor you need at least two to three in administrative positions, mainly to do the incredibly complex and convoluted billing. So rather than established a nationwide billing standard that is binding for all insurers and providers the health insurance industry introduces 68,000 different codes for describing procedures. THAT insanity is what is driving costs. Cut the expenses for administrative overhead and pay for actual treatment. We all will get more and spend less.
HM
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HM,
User Rank: Moderator
10/2/2015 | 11:44:27 AM
Big Data solution
Jessica, Big Data in the healthcare industry is surely a great match. At LexisNexis Risk Solutions we are actively engaged in using the open source HPCC Systems data intensive compute platform along with the massive LexisNexis Public Data Social Graph to tackle everything from fraud waste and abuse, drug seeking behavior, provider collusion, disease management and community healthcare interventions. We have invested in analytics that help map the social context of events through trusted relationships to create better understanding of the big picture that surrounds each healthcare event, patient, provider, business, assets and more. For an interesting case study visit: http://hpccsystems.com/Why-HPCC/case-studies/health-care-fraud

 
Broadway0474
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Broadway0474,
User Rank: Ninja
9/30/2015 | 3:53:14 PM
Re: Growth of applications
I searched for terms like "risk," "security" and "privacy" in this piece, and I didn't come across them. As the Marvel comics saying goes, "With great power comes great responsibility ..." They have this tremendous store of data, but healthcare organizations have been notoriously lax with data security as of late. Can we get more follow-up from the CIO on this topic?
tzubair
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tzubair,
User Rank: Ninja
9/29/2015 | 5:08:43 PM
Growth of applications
"Between now and the beginning of the year you will see more and more of these applications come online,"

I think as the number of applications go up, the choice for consumer goes up and the vendors are forced to innovate and stay ahead in the comeption. In case the number doesn't go up, it will generally lead to pooerer survice in the long run.
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