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Health Plans Can Reduce PPR by Ingesting ADT Data


Health Plans Can Reduce PPR by Ingesting ADT Data

January 14, 2024 | 5-minute read

Ingesting ADT Data

In the complex landscape of healthcare, where data plays a pivotal role in shaping member outcomes, Health Chain stands at the forefront with its innovative health data management platform. In a webinar tailored for Data & Analytics professionals, Health Chain discusses the importance of being able to ingest, process and exchange ADT messages in pursuit of reducing potentially preventable readmissions (PPR) in the Medicare population to reduce costs and improve outcomes for members.

Understanding the Challenge:

Potentially Preventable Readmissions (PPR) pose a significant challenge in healthcare, not only in terms of members outcomes but also in terms of financial implications. According to a 2021 report by the Agency for Healthcare Research and Quality (AHRQ), Medicare readmissions totalled a staggering 2.3 million per year, with an average cost of $15,500 per readmission. On average, this comes out to roughly $500 per year in PPR costs for every Medicare member that a health plan manages care for – we’ll leave the rest of the math to you.

The Role of ADT Data:

One often overlooked source of critical information are the event notifications included in Admit, Discharge, and Transfer (ADT) messages. These messages provide a real-time understanding of a member's journey, from admission to discharge, to member information updates and subsequent care transitions. Effectively harnessing this data can empower health plans and their provider networks to anticipate and address potential challenges members might face post-discharge.

Centaur Data Platform: A Foundation for Transformation

Foundational health data management platforms help establish a scalable ‘data fabric’ empowering Health Plans to transform the way they use data to drive meaningful change in member care. At the heart of Health Chain's efforts to transform healthcare is the Centaur Data Platform - a foundational health data management platform designed to enable Payers to ingest, curate and normalize a myriad of healthcare data across a myriad of sources, including both FHIR and non-FHIR data sources.

Centaur’s impact goes beyond mere data management; it serves as the foundation for improvements in care quality such as reducing PPR by strategically integrating ADT messages into the broader health data landscape, getting that information in the hands of folks who can put it to work and ultimately increasing collaboration across stakeholders.

Seamless Integration of ADT Messages:

Centaur Data Platform is designed to enable real-time insights by capturing, parsing and extracting critical information from ADT messages in real time. This ensures Health Plan care teams gain timely insights into member discharges and can proactively engage with members, ensuring a smoother transition from hospital to home.

Empowering Care Coordination:

Reducing potentially preventable readmissions (PPR) requires a collaborative and well-coordinated approach to member care between Health Plans and Providers. Centaur Data Platform acts as the linchpin, facilitating seamless handoffs between care coordination teams. By exchanging ADT message data in real time and integrating critical elements directly into care team applications, Health Plans can bridge the information gap, allowing for more informed and preventative decision-making at every step of the member's journey.

A Paradigm Shift in Healthcare Analytics:

Healthcare analytics and AI initiatives need to track every encounter in the healthcare system to create, maintain and regularly update comprehensive and longitudinal member records. Health data management platforms enable a paradigm shift in the relevance and reliability of healthcare analytics by powering actionable insights that can drive targeted + proactive interventions to close care gaps.

Centaur Data Platform's transformative impact extends to healthcare analytics, allowing Health Plans to move beyond traditional, disjointed approaches to data gathering and utilization. By leveraging ADT message data alongside other critical healthcare information from FHIR and non-FHIR sources, Health Plans can gain a comprehensive understanding of patient trajectories, identify potential risk factors, care disparities and implement timely strategies to reduce risk, prevent readmissions, etc.

Contact Health Chain to learn more about how Centaur Data Platform is already helping numerous BCBS Health Plans seamlessly ingest ADT messages to reduce the costs of preventable readmissions.

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