Lab results volume gap analysis

Understanding the difference between claims-based data and member-based data

Lab data can help support member initiatives across the payer organization

Having full access to member lab test results can help optimize initiatives across the payer organization.

Risk adjustment and stratification: Identify populations most at risk for chronic conditions, inform disease diagnosis coding, and identify unrecorded health conditions, which may lead to higher reimbursement
Care coordination: Determine an optimal care plan, paving the way for better health
HEDIS^® reporting: Fill in member data gaps, which could lead to improved quality performance measure scores, such as HEDIS^®

See the clear value of switching to member-based data in our volume gap analysis for a payer previously using data based only on claims.

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