Within healthcare, harnessing data effectively is crucial for any organization striving to deliver exceptional patient care, drive operational efficiency, and remain competitive. Safe to say, the last several years have been extraordinarily difficult for health systems – in 2023 alone, 40% of health systems were not profitable. More than ever, these circumstances underpin the necessity for organizations to leverage the best and most reliable data in order to continue delivering the best care possible. 

At the heart of this transformation lies the concept of data analytics – specifically expanded data coverage for health systems – which refers to the scope and depth of data that healthcare organizations can access and utilize to gain insights.  

The importance of this cannot be overstated, particularly in light of Clarify Health’s continued investment in claims datasets, which have given the company more insight into over 300 million patient lives — more than any other analytics vendor in the market. 

Unmatched scale of Clarify’s data asset 

Clarify Health has built a data asset of unparalleled scale, encompassing information on 300 million+ patients and 170 million payer-complete longitudinal lives – giving the company a 90% national coverage score.  

This achievement sets Clarify apart from other analytics vendors in the market, providing a foundation for generating more accurate and meaningful insights for healthcare organizations. The sheer volume of data allows for a more comprehensive understanding of patient behaviors, outcomes, and trends, which is essential for any healthcare organization aiming to improve its financial performance and clinical outcomes. 

Impact of expanded data coverage 

The implications of expanded data coverage are vast. With an increased number of covered lives and payer-complete claims, Clarify Health’s data captures a broader spectrum of the patient population and provides richer, more detailed insights.  

Achieving this is not exceptionally complex; indeed, any organization with the necessary resources can license the data. However, the substantial costs, along with the intensive effort required to clean, deduplicate, and analyze the data, present significant challenges. This reality highlights Clarify’s strong dedication to making a meaningful impact in this area. 

This expanded coverage translates into actionable intelligence that can significantly impact healthcare organizations. Clarify’s insights have driven $2.1B in net impact across all customers, with an average of $28 million per customer. This figure validates the power of data when it is comprehensive and accurate, enabling organizations to make decisions that directly affect their bottom line and quality of patient care. 

Deeper market insights and strategic advantages  

One of the most profound benefits of expanded data coverage is the ability to capture a greater share of the market. Healthcare organizations can gain a deeper understanding of in-network retention, quantifying the effects of patients leaving the network and identifying where patients are receiving care downstream. This level of insight is invaluable for healthcare providers looking to refine their strategies, retain more patients within their network, and ultimately enhance their market position. 

Furthermore, healthcare organizations can gain a more detailed understanding of their market share in specific geographic areas with more granular data offered down to the Diagnosis-Related Group (DRG) and Current Procedural Terminology (CPT) levels. This detailed view allows organizations to make data-driven decisions about where to focus their efforts, allocate resources, and optimize care delivery across their network. 

Enhancing physician and patient insights 

Enhanced data coverage also improves visibility into what physicians are doing and where patients are leaving the system. This insight is crucial for identifying patterns that may indicate areas for improvement or opportunities for targeted interventions.  

By understanding these dynamics, healthcare organizations can implement more targeted course corrections, ensuring that they retain more patients and improve the overall quality and cost of care. 

Additionally, expanded data coverage significantly improves the ability to analyze the sequence of touchpoints and events patients have with providers. By stitching together more claim encounters, healthcare organizations gain a more comprehensive view of the patient journey, from initial contact to follow-up care.  

This level of detail is essential for understanding how different factors influence patient outcomes – medical, social, and economic –  and identifying areas where the patient-provider experience can be enhanced. 

Strengthening referral networks and controlling costs 

Another key advantage of expanded data coverage is the ability to grow referral volume and enable more effective physician outreach. By leveraging a more robust dataset, healthcare organizations can strengthen their care networks and improve provider coordination. This enhances patient care and helps control costs by ensuring that patients receive the right care at the right time, reducing unnecessary or redundant services. 

This level of insight is crucial for accurately quantifying total revenue opportunities across entire books of business. By understanding the full scope of patient interactions and the associated costs, healthcare organizations can make more informed decisions about resource allocation, care delivery, and financial planning. 

The future of healthcare powered by data 

As healthcare providers continue to navigate the complexities of modern healthcare delivery, the ability to access and leverage comprehensive, high-fidelity data will be a key determinant of success. 

Clarify Health’s achievement in building the industry’s most robust dataset represents a significant milestone in this journey. It provides healthcare organizations with the insights they need to thrive in an increasingly competitive market. 

By harnessing the power of insights from this expanded dataset, healthcare organizations can capture a greater market share, enhance patient care, strengthen referral networks, control costs, and unlock new revenue opportunities.  

The future of healthcare is undoubtedly data-driven, and those organizations that can effectively leverage this data will be well-positioned to lead the way in delivering better care, better outcomes, and better value for patients and providers alike. 

Learn more about Clarify Health’s expanded data coverage here.