Independent Health to Continue Slowing the Growth Rate of Healthcare Costs with Kalido Information Engine

12/16/2009

Regional Insurer Seeks to Improve Patient Outcomes and Contain Costs Through Data Governance

Kalido, a leading provider of information management software for enterprise data governance, today announced that leading regional health insurance provider Independent Health has selected the Kalido Information Engine to deliver a data-governance-driven information management solution that will help better manage data related to members, providers and claims in order to slow the growth rate of healthcare costs and improve service.

ebizQ received the following

Independent Health selected Kalido for its comprehensive data governance capabilities that meet the company’s need to deliver complex, critical insight in a transparent and fully auditable environment. Kalido partner Project Performance Corporation will work with Independent Health to design and implement the solution.

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Consistently rated one of the highest rated health plans in the nation by such organizations as the National Committee for Quality Assurance (NCQA), US News and World Report and other national consumer magazines, Independent Health has proven that customer service is a top priority. To maintain that leadership position even in the face of rising healthcare costs and imminent industry reform, Independent Health continually seeks innovative ways to manage healthcare costs while simultaneously improving service and outcomes for the individuals insured under their plans.

The right information and analysis is the first step for Independent Health to keep premiums low while maintaining its national benchmark levels of customer service and satisfaction. In addition, strict standards and regulations such as the Health Insurance Portability and Accountability Act (HIPAA) require Independent Health to ensure the security and privacy of health data.

With the new Kalido-based solution, Independent Health will seek innovative ways to slow the growth rate on health care costs through the intelligent analysis of member, employer and provider data, while simultaneously adhering to regulatory privacy requirements and maintaining the organization’s high standards for customer service.

Independent Health relies on multiple internal and external information systems for operational data. The Kalido Information Engine was selected to replace a custom-built data warehouse because of its proven performance in complex, heterogeneous environments providing data management and governance capabilities. Independent Health selected Kalido for its ability to rapidly incorporate new systems into Independent Health’s existing data warehouse.

Moving from a claims-centric data warehouse architecture to one that is information-based will enable Independent Health to integrate the data sources faster, and allow the use of more comprehensive information to provide more value to internal and external constituents.

Quotes

Judith Feldman, senior vice president and chief information officer at Independent Health, said:

“Slowing the growth rate on health care costs is imperative if we are to improve the long-term fiscal health of this community and our nation. Reversing the high cost of healthcare is a collective responsibility requiring visionary leadership and wide-ranging partnerships. The implementation of this new program will take us one small step toward that goal. The Kalido Information Engine has a unique combination of adaptability, automation and auditability that will not only help us quickly achieve our goals, it will also greatly improve productivity in our reporting and data governance groups. With Kalido and Project Performance Corporation, we will achieve our vision without compromise."

Rajeev Kumar, vice president, private sector, at Project Performance Corporation, said:

“When we started working with Independent Health, it became clear that their current data warehouse and information management infrastructure would not be able to keep up with their plans for the future. Kalido’s data governance approach and its Kalido Information Engine is exactly what we needed to help deliver Independent Health a transparent, auditable and flexible information management environment.”

Bill Hewitt, president and CEO of Kalido said:

“Most health insurance providers are 100 percent committed to ensuring positive member outcomes, but many are plagued with issues that affect their ability to better understand how to achieve them. Independent Health is unique in recognizing that issues such as conflicting data sources and complicated analytical reports require a strong data governance foundation. By recognizing this need, Independent Health is taking a proactive approach that will ensure that their clients have the best healthcare at an affordable cost.”

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