Empowered Patient Podcast Medicare Advantage Plans Leveraging Data Analytics to Drive Quality Improvement with Neetu Rajpal Lilac Software
Neetu Rajpal, the CEO, and Co-Founder of Lilac Software, brings data and analytics tools to healthcare payers with a specific focus on addressing health disparities and improving benefits for Medicare Advantage members. The Medicare Advantage Star Rating program is a key incentive for health plans to be more innovative about data analysis to improve quality measures and receive financial incentives. Timely, reliable information in an accessible format and better data analytics improve decision-making, patient outcomes, and engagement with providers and patients.
Neetu explains, "Health plans tend to have lots of data. They have lots of valuable tools, but those tools have data that is locked inside those tools themselves. So if you're, for example, part of an actuarial team, you may actually be getting PDFs, you may be getting spreadsheets, you may be getting access directly to a CSV file. You may get all these things on a one-off basis, and you have to make sense of all this data. The burden of cleaning and making use of this data falls on you."
"This is exactly where lots of energy is lost, lots of labor costs are lost, and lots of efficiency is lost. So with Lilac, we're trying to make sure that all of this stuff of banal value is just available behind the scenes. This is exactly what tech is supposed to be doing for you. Help you operate at the top of your license. If you're an actuary, do actuarial things and let tech make sure that the data you need to do your work is available to you when you need it, and you can just rely on and trust it."
"Yes, unfortunately, there is still a lot of paper in the process. Some of the paper is regulatorily required. So if you're a payer, you're required to send any of your members a directory of providers that are available. If they ask for it in paper, you are required to send them ID cards that can be paper. We all know about the fax machines and all of those things on paper."
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