Breakout Session 2 Insurers And Personalized Healthcare
Personalized Healthcare
Payer Perspective
Session Leader: Cindy Gadd
Scribe: Danny Sands
ACMI Winter Symposium
February 21, 2009
Key Informatics Issues
- Curation of data—real vs. virtual
- Portability of health information
- 30~40% of American’s change plans annually
- Prisoner’s dilemma
- Quality and completeness of health plan information
- Payers have claims not clinical data
- P4P requires actual results not just claims
- Clinical care requires clinical data
Action Items for ACMI/AMIA
1. Engagement and education about value of personalized health information through summit/white paper:
- Payers
- Individuals
- Providers
- Need to involve key decision makers
2. Define care coordination models and data requirements, perhaps through #1
3. Create mechanisms to link claims and clinical data
- All vs. prioritized data elements
page revision: 4, last edited: 25 Feb 2009 22:20