Healthcare Strategic Growth Blog

Leverage Adjustable Confidence Scoring for Empowered Payer Negotiations

By Hannah Killian and James Porter

In survey research¹, a confidence level is applied to express how confident a researcher is in the data obtained from a population sample. A confidence level lets someone know if they can trust the research data to make decisions. 

Similarly, a confidence level (or score), when applied to all-payer claims data (APCD), indicates the trustworthiness of this data for making healthcare decisions. It’s a metric that ensures integrity and can empower a provider to use this data with greater assurance. 

Greater data confidence can be useful when pursuing a number of healthcare planning initiatives. In this post, we’ll discuss specifically how an adjustable confidence-scoring system is valuable when preparing for provider-payer reimbursement negotiations. Equipped with this tool, providers can:

1. Experience data with certainty, knowing that the cleaning and curation work has already been done 
2. Apply their intuition, since variability can be adjusted to allow for the application of local knowledge
3. Approach negotiations empowered by data insights, assured that the data they’re relying upon to make decisions is trustworthy

Let's get started discussing each of these factors in more detail. 

Stay Safe this July 4th by Avoiding these Injury Trends

By Gavin Chance

Don’t become a statistic - stay safe this July 4th! In an effort to help you prepare for this holiday and avoid the most common accidents, we’ve researched fireworks injury data from the past five years. This is what we found:

• 72% of fireworks accidents occur at home
• Men are twice as likely to become injured as women
• 27.9% of injuries happen to children, ages 0-10 years old

Click-to-Tweet: Did you know? 72% of fireworks accidents occur at home, 11.75% occur in public, and 11% at a sporting event.

Interested in learning more, such as the most common diagnoses and where most injuries occur? Check out our infographic, below.

How to Foster a Data-Focused Culture

By Jennifer Keller

Gist Healthcare provides a weekly newsletter called the Weekly Gist.  A popular read in our office, we find it to be informative and useful for staying on top of the latest healthcare news.  In this newsletter, they distill the latest healthcare news, trends, and conversations with industry leaders into actionable guidance for CEOs and senior executives.

A recent excerpt from Gist caught our attention. The CMO of a regional health system shared that: “his personal efforts to champion greater performance transparency and tracking of key clinical metrics made a big difference in [his] system’s impressive results in elevating physician performance.” He went on to emphasize that “getting the doctors addicted to data” was a critical element of his system’s success.

The Secrets of the DIKW Pyramid

By Jason Moore

Have you heard of the DIKW pyramid?  If not, you’re not alone. But if you’re up for a refreshing shift in perspective on how to make data-driven decisions, then read on.

Within the healthcare landscape, change is constant. As a result, growth departments — whether they be strategic planning, marketing, business development, or physician relations — must make informed, data-driven decisions that can keep pace with the rate of change. Stratasan views the DIKW pyramid as the best and most philosophically accurate way for leaders to make these decisions.

How Tanner Health Has Found Success Through Advanced Market Segmentation

By Kelly Meigs and Drake Jarman

Stratasan's Drake Jarman and Kelly Meigs of Tanner Health System led a breakfast session on “How to Create Planning and Marketing Initiatives Based on Real-Time Intelligence” at this year's GSHMPR Annual Conference. Attendees learned how, by geocoding internal patient data to the block group level, Tanner Health System can assess growth plans in real-time and pivot execution strategies as needed.

Download the slides from their presentation, here.