Excellus BlueCross BlueShield and Geneia Partner on Value-Based Analytics


January 4, 2017


Harrisburg, PAGeneia, an analytics and emerging technology leader in transforming healthcare delivery, announced today that Rochester, N.Y.-based Excellus BlueCross BlueShield has agreed to partner with Geneia to deliver value-based analytics and insights to the health plan’s 1.6 million members using the company’s Theon® platform.

“We are committed to improving the quality and affordability of healthcare and have chosen to partner with Geneia to drive insights to achieve just that,” said Excellus BlueCross BlueShield CEO Chris Booth. “We were impressed with Geneia’s capability to drive effective interventions and the breadth of the Theon® solution that we expect will grow with our needs.”

Geneia has in particular highlighted its track record of helping other customers succeed in value-based cost and quality arrangements through the use of the Theon® platform. Such notable achievements with improved outcomes and member satisfaction include:

  • Achieving a 7.2 percent reduction in inpatient admissions and a nearly 15 percent reduction in readmissions for Medicare plan customers
  • Achieving an 8 percent reduction in emergency department visits for employer group and Medicare plan customers
  • Exceeding the regional average for Healthcare Effectiveness Data and Information Set [1] (HEDIS®) measures for some of the leading chronic diseases
  • Realizing a 2 percent reduction in claims expense as the result of leveraging the Theon® platform to take a holistic approach to population health management

“We are excited to be working with Excellus BlueCross BlueShield,” said Geneia CEO Mark Caron, CHCIO, FACHE. “This upstate New York health plan is taking a strong leadership role to improve collaboration with its provider partners and ensuring the sustainability of healthcare in the community. We look forward to helping them achieve their goals.”

ABOUT EXCELLUS BLUECROSS BLUESHIELD

Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association, is part of a family of companies that finances and delivers vital health care services to about 1.6 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools. To learn more, visit excellusbcbs.com.

ABOUT GENEIA

Geneia LLC is an analytic solutions and services company that helps our clients improve outcomes, lower costs and restore the Joy of Medicine. Our team of physicians, nurses, technologists, analytics experts, and business professionals have created a suite of clinical and analytic solutions that enable health plans, hospitals and employers to better understand, evaluate and manage the health of their populations. The company has offices in Harrisburg, PA and Manchester, NH. To learn more, visit Geneia.com (https://www.geneia.com) or connect with us Twitter and LinkedIN.

[1] HEDIS® is a comprehensive tool used by most health plans to measure performance on important aspects of care and service.