Championing transparent technology: Why we’ll always show you behind the scenes

Modern, tech-enabled innovations are demonstrating immense potential to transform the way healthcare is planned, delivered and paid for in the United States—but how much do you know about how these innovations really work? It can be hard to trust data-driven insights when you don’t have a clear view into how source information is being used and what analytics processes are being applied to produce those insights.

For this blog post, we sat down with David Schweppe and Matthew Hanauer on Linkedin Live to get simple explanations of a few basic data science principles. Read on to explore what is going on ‘behind the scenes’ of predictive healthcare technology.

1. Statistical modeling

    Traditional statistical modeling capabilities still have their place, but the complex world of healthcare now demands more specificity and actionability than these models can offer. Next-generation statistical modeling allows providers and payers to be proactive and level up care delivery and management.

    TraditionalNext generation
    Identifies factors contributing to particular observed phenomenaPredicts which factors may influence phenomena and explains how
    Expands general understanding of healthcare trends and consumer behaviorsAssesses magnitude, speed, and valence of trends and behaviors to understand influence and impact
    Equips data analysts with the information necessary to construct an action planTurns visible inputs into actionable outputs, allowing anyone to participate in the data-driven movement
    Delivers answers based on averages for a specific situationExtracts granular insights and personalized forecasts at every level—patient, community, provider, system, and industry.
    Utilizes individual data sets or pieces together inputs from siloed sourcesPresents a unified view of disparate data sources (e.g. clinical, claims, SDOH, etc.) for comprehensive understanding and effective action

    2. Cyclical processes

      Data offers answers, but it also often stimulates more questions. We believe a healthy model is just that—a model. Users and leaders alike must engage fully in the cyclical process of data-driven decision making. 

      In this clip, Dave and Matt illustrate the iterativeness of data science using two example situations: (1) rising hypertension costs and (2) behavioral health drivers.

      The beauty of this adaptability is that you can examine the same scenario from multiple angles, tweaking various factors to see what might happen and how your organization might need to adjust accordingly.

      3. Why, why, and why again

      Keep asking why, David says, until you get to the bottom of something. AI can suggest opportunities, identify outliers, forecast trends, and much more—but acting without full understanding is still unwise.

      Our technologies and tools are not designed to be wielded thoughtlessly; there is still a critical human element at play. Dashboards are powerful summaries, but don’t be afraid to get into the nitty gritty. Drill down. Access more details. Understand the intricacies of a population health challenge by examining individual patient situations. Go deeper on denial trends to stop a problem before it becomes one. Users and leaders alike must leverage their own experiences and areas of expertise to interpret recommendations contextually and implement changes strategically.

      Lightning Round!

      At the end of each LinkedIn Live session, we ask our guests three quick, big-picture healthcare questions:

      1. What is one thing in healthcare that has you really excited right now?
      2. If you could solve one major challenge for healthcare organizations, what would it be?
      3. What is one key trend that you’re keeping an eye on? Anything we should be watching and researching?

      Hear Dave and Matt’s answers:

      Stay tuned on LinkedIn for more live events, timely resources, and more!

      Editorial Team

      MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

      Get our take on industry trends

      Optimize your midcycle for telehealth services

      March 25, 2024

      Telemedicine is now a permanent fixture in homes across America. A majority of healthcare organizations have established the technology necessary…

      Read on...

      Three ways to improve patient retention in recovery programs

      March 6, 2024

      Deaths from drug overdoses have increased from ~1 per 100,000 in 1999 to ~4 per 100,000 in 2020.1 The introduction…

      Read on...

      ACOs and value-based care in 2024: Four key questions and answers

      February 27, 2024

      ACOs have long been at the front lines of value-based care efforts. In a recent LinkedIn Fireside Chat, Andy Dé…

      Read on...

      How is telehealth impacting STARs performance?

      February 21, 2024

      STAR scores are a critical component of success for Medicare Advantage Plans, MSSP and REACH ACOs, driving them to maximize…

      Read on...