EHR Integration for Enhanced Healthcare Analytics

Benefits of MedInsight
data integration

Merge data from multiple sources into a single queryable table set
Easier querying/reporting and more efficient data analysis
Consistent analysis across member, claims, EHR and other types of data
Support of integrated analysis
Collaboration with EHR platform providers

Meeting value-based care goals is challenging enough without disconnected data. Combining your claims and clinical data provides a fuller and more complete picture of a patient’s health, costs, and outcomes.

The importance of EHR data

A key limitation in claims data, is that it often lags by up to three months after the patient’s initial encounter and only includes information relevant to billing.

These delays and narrow scope hinder more comprehensive views and uses for more timely and effective care management. Clinical data, however, is generated at the point of care and captured in near real-time. It provides a much broader view of a patient’s health, including treatments, risk factors, lab results, social determinants of health and outcomes.

By integrating EHR data with claims data, healthcare organizations can access more relevant, timely and comprehensive clinical information about patients, enabling more accurate and accurate targeting of populations. It is a powerful source of information and insights you can use to drive and measure performance improvement across every goal and initiative.

Use cases for integrating clinical data from EHRs include:

Precise CCO and ACO quality measure management
Enhanced population health analytics
Targeted chronic condition interventions
Primary care analysis
Care gap identification and closure

Low-value care identification
Contract performance analysis
Improved physician engagement
Advanced modeling
Risk score optimization

Getting there, however, requires sophisticated tools and processes for ensuring data quality and completeness, integrating it, and for harnessing it effectively to meet strategic goals.

Bridging the gap: MedInsight’s approach to EHR data integration

Milliman MedInsight seamlessly supports EHR data integration, enabling healthcare organizations to consolidate, merge and harmonize the data from various systems and ensure data accuracy and clarity. By applying the MedInsight Data Confidence Model (DCM), we effectively merge clinical data from electronic health records (EHRs) with extensive claims data. This process includes structured steps, tools, and peer reviews, drawing on Milliman’s deep experience in healthcare data to deliver data you can trust. The result is a rich data environment that supports in-depth analysis and offers more opportunities for improvement.

In addition, our alliance with EHR platform providers like Epic have enabled us to embed our analytics directly into the platform for seamless integration.