Changes in healthcare data with new innovation model

By | August 22, 2019

As digital health innovators and healthcare industry strive to improve access, convenience, and outcomes for healthcare clients alike, data is at the heart of how to reshape the competitive landscape for the future. As traditional healthcare firms face growing competition from non-traditional competitors, some have started to understand their competitive advantage in the form of big amounts of healthcare clients ‘ medical history data.

One of the country’s biggest health plans, Pittsburgh-based Highmark, has introduced a program that transforms its inner innovation program VITAL into a business offering designed to assist digital health startups to test their products in real-world clinical settings. The key value of this startup program is access to claim the information on 4.5 million employees served in three countries by Highmark.

Mercy Health, based in St Louis, MO, has introduced a real-world evidence network that will pool clinical network information across the nation, beginning with its millions of patient records clinical information database. Subscribers to the network will have access to this pool of de-identified information, including scientists, regulators, Pharma and Medtech businesses.

Health plans and education systems are today’s custodians of information on health care. Health plans are collecting, storing, and using information to design health insurance goods, properly pricing them, and offering their members a variety of other advantages. Health systems do the same, even though data is stored in environments controlled and managed by their vendors for electronic health records (EHR). For several years, digital health innovators–supported by the CMS–have been in an ongoing fight with EHR suppliers to facilitate access to information while the CMS has been pushing for unfettered access to their private medical history for healthcare customers.

The commercial use of de-identified patient and member information provides an important objective, namely to allow and advance innovation in designs of care delivery that will eventually profit customers in health care through better results and reduced care expenses. Giving access to the information to digital health innovators and scientists allows them to use sophisticated analytical instruments to obtain ideas that can fuel innovation in care provision, population health management, and several other items. Entities such as Highmark are creating constructs to unlock the information and open it up for exploration and development–at a cost.