Evaluating the cost efficiency and quality of care is a running challenge for health insurance companies — a challenge that is exacerbated by the myriad physicians, specialists, hospitals, and other providers a patient might visit regarding an issue. Health Care Service Corp. (HCSC), a not-for-profit health insurance company that serves nearly 15 million members in the U.S., is meeting that challenge with a combination of data analytics and machine learning.
“We want to help our providers improve their quality of care and cost of care by giving them access to the right levels of information, so they can compare their outcomes, their treatments, with other providers,” explains Marv Richardson, senior vice president of application development at HCSC.
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Source: News