Blog Post

How to rethink your business strategy with longitudinal claims

October 28, 2017

    Planners have a growing arsenal of data sources to tackle health care's toughest business questions. But traditional data sources—such as internal claims data or state hospital association data—don't tell you the full story about the services a patient accessed across the continuum.

    To address this market gap, our experts have started analyzing longitudinal claims data from national, commercial payers, which enables a more thorough and sophisticated view of market opportunity than possible with traditional platforms.

    Read on to learn more about this data and how you can use it to rethink your growth strategy.

    Use longitudinal data to revamp your planning capabilities

    Longitudinal claims data gives visibility into health care utilization across the continuum at the patient level. This line of sight creates a new dimension for understanding and prioritizing market opportunity. For example, while traditional claims sources can tell you about your performance in acute care centers, they may give a limited view into which individuals in your market accessed care and what care they received outside hospital walls. Also, traditional platforms can tell you how your organization fares for a set period of time—but have you ever wondered how your share (and that of your competitors) tracks over time?

    Longitudinal claims data can help to address these blind spots and help planners rethink some of their toughest questions. For example:

    • What service lines should I prioritize? Traditional market analytics can tell you how much total procedural revenue is available for capture. With longitudinal data, you can focus on achievable opportunity by connecting upstream and downstream revenue. This approach helps balance opportunity for new, procedural share with opportunity to retain existing patients.

    • How have my investments paid off? Perhaps you've invested resources into building out your freestanding footprint to improve upstream access, and you want to track your performance since then. With longitudinal visibility into patient activity, you can evaluate new patients acquired as well as competitor dynamics for this in-demand site of care.

    Answer new, burning questions with longitudinal claims data

    Since longitudinal claims can tell you the facilities and physicians that patients visited over time, they allow planners to tap into patient journeys. You can think of this concept as the set of services patients receive during a given care episode. This analysis can provide answers to several top-of-mind questions that were previously guessed at or simply left out of the equation:

    • What are the key sets of services that patients receive before an acute care episode? While there can be countless combinations of services patients receive, longitudinal claims data can tell us about the key "nodes"—namely, services received and physicians visited—in a given patient cohort journey.

    • When in the continuum are patients being leaked out of my system? With this data, you can see the point at which you lose your patients' business – and follow patients' journeys among competitors.

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