DATA SCIENCE
High Tech. Right Touch.®
Using technology to improve patient and physician satisfaction on the patient journey.
HOW WE DO IT
The secret sauce.
We leverage our proprietary, quality-measurement data science with vast amounts of data on 1.1 million physicians to perform matching analysis in seconds.
Strong Clinical Foundation
To build QualityCare Connect, we worked closely with nationally-recognized medical experts and clinical leaders who helped to establish our quality indicators. We leveraged their healthcare expertise and paired it with evidence-based standards from:
- Healthcare quality organizations
- Nationally-recognized guidelines and quality measures
- Medical and healthcare economics literature
Data Science
We’ve defined a comprehensive ontology that maps relevant physician data using deep clinical insights and transparency tools in healthcare.
Our proprietary data science platform leverages machine learning to select the top doctors for a given condition or diagnosis, taking into account a patient’s personal preferences.
Validated Data
Healthcare data is messy. We are continually mining and improving our data set beyond what’s available to the public and healthcare sector. We create a holistic view of physicians, including clinical and non-clinical attributes.
Our Intelligence Platform
Our Care Navigators tap into our data platform in order to provide patient-physician matching. Here’s how it works:
MEMBER OR CARE NAVIGATOR INITIATES REFERRAL
RESEARCH PROCESS BEGINS: INSURANCE VALIDATION AND APPOINTMENT AVAILABILITY CONFIRMED
MEMBER SELECTS FROM PHYSICIAN PROFILES
MEMBER ARRIVES
PREPARED FOR
PHYSICIAN VISIT
MEMBER RECEIVES
FOLLOW-UP SURVEY
