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|Check, and Check, and Triple Check! The Discipline of Member Identity Intelligence|
Member identity is the life blood of any risk-bearing industry. The many
facets of a member’s identity can impact compliance, outcomes, overall
benefit program effectiveness, and engagement strategies. Considering
the criticality of identity data, many health plans nevertheless
struggle to identify, aggregate and analyze information in a holistic
manner. The price of focusing on new benefit programs, care payment
models and care coordination may be too often paid for by the lack of
“blocking & tackling” processes in ensuring data integrity within member
identity insight. This creates risk over time. Failure to concurrently
enhance discovery and insight into new dimensions of member identity can
directly impact sustainability.
This session will explore the complexities of member identity and its layers of multi-dimensionality and methods within the industry to weave this information across the business operational continuum. Participants will be pushed to both redefine desired informational outcomes from identity data, but also understand the opportunities to augment in-house data with other public and proprietary data resources. The health plan workflow will be illustrated from an at-risk versus optimized setting based upon a scale of identity intelligence development. Insight into past experiences and critical components for success in leveraging data resources & practices, without compromising administrative or claims systems, will be explored within the context of:
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