Blue Cross Blue Shield - Blue Health Intelligence

Overview:

In April 2019, the Blue Cross Blue Shield Association (BCBSA) and Blue Health Intelligence® (BHI) invited cutting-edge companies to a unique innovation challenge which asked: What if your organization had access to a limited dataset within BHI’s database of more than 5 billion covered procedures performed annually, originating from more than 170 million active and inactive Blue Cross and Blue Shield (BCBS) members?

Blue Cross and Blue Shield (BCBS) companies are committed to using data-driven insights to improve the health of all Americans. Despite an abundance of innovative solutions entering the market, the health ecosystem has only seen marginal improvement in reducing costs or improving outcomes. As we push beyond this natural phase in our health system’s evolution, we see access to data as a major, but addressable hurdle. 

As such, we asked innovative companies to explore new methods and develop solutions that increase access to care, enhance patient engagement and improve care delivery by leveraging a subset of BHI’s database. 

Application and Testing Process

More than 130 companies submitted applications by June 25, 2019. In July and August, leading BCBS executives and academics reviewed the applications and selected the most promising use cases. On September 9, 2019, BCBSA and BHI announced the five finalists who are receiving access to a subset of BHI’s national dataset to help prove the utility and usefulness of their novel healthcare solution ideas. 

The finalists are:

  • Livongo: Uses technology to empower those with chronic conditions to live better and heathier lives. Livongo plans to leverage the dataset to identify, predict and prioritize members at risk of medication non-adherence. 
  • Pager: A digital health solution that serves as a collaboration hub between consumers and their care team. Pager plans to use BHI’s dataset in combination with their data sources to learn how care teams can enhance members’ journeys through their healthcare usage. 
  • Thrive Earlier Detection: A healthcare company focused on incorporating earlier cancer detection into routine medical care to extend and save lives. Thrive is developing CancerSEEK, a liquid biopsy test designed to detect many cancers at earlier stages of disease, which will serve as the core of an integrated service offering. Thrive plans to leverage the dataset to gain further insights into the health-economic impact of earlier cancer detection.
  • Wildflower Health: Offers responsive software solutions for families to navigate and access healthcare resources, primarily during pregnancy and through pediatrics. Wildflower Health plans to use BHI’s dataset in combination with their own data sources to improve their pregnancy platform’s existing risk-stratification model, allowing for more appropriate and timely intervention for members. 
  • Workit: Provides online opioid addiction treatments that are both effective and accessible for patients. Workit Health plans to leverage the dataset to uncover more holistic and comprehensive ways to measure the success of addiction treatments to support the identification, prediction, and prioritization of members and providers for real-time interventions. 

Challenge Prize

Finalists will have 2 months to test their proposed use case using a subset of BHI data. Upon completion, each finalist will present a brief pitch to BCBSA and BHI leadership, as well as a wider BCBS audience, to demonstrate their solutions’ effectiveness. 

The final winner will receive:

  • Access to a subset of BHI data for six months 
  • Data support including consulting support from BHI team
  • Access to BCBS leadership through mentorship and participation at BCBS events
  • Mentorship and advice from BCBS companies’ and leaders of the Health Information and Management Systems Society (HIMSS)


Have questions?
Consult the BlueCross BlueShield Data Innovation Challenge FAQ.
Or contact: Julie Campbell, Healthbox or Janet Hughes, BHI

By submitting an application, you agree to our Terms and Conditions.
No purchase necessary. Void where prohibited. Rules apply.
 

About Blue Health Intelligence®
Leveraging the power of medical and pharmacy claims data from more than 190 million Americans, Blue Health Intelligence (BHI) delivers insights that empower healthcare organizations to improve patient care, reduce costs, and optimize performance. Our team of data analysts, clinicians, IT experts, and epidemiologists provide analytics, software-as-a-service, and in-depth consulting to healthcare stakeholders. Blue Health Intelligence is an independent licensee of the Blue Cross Blue Shield Association and carries the trade name of Health Intelligence Company, LLC.

About HIMSS
HIMSS is a global advisor and thought leader supporting the transformation of health through information and technology. As a mission driven non-profit, HIMSS offers a unique depth and breadth of expertise in health innovation, public policy, workforce development, research and analytics to advise global leaders, stakeholders and influencers on best practices in health information and technology. HIMSS encompasses more than 77,000 individual members and 630 corporate members. Healthbox, a HIMSS Innovation Company, is a healthcare advisory firm that leading organizations trust with innovation and digital strategy development and execution.

The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies.