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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.”

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.

Geneia LLC is a healthcare analytics and services company. We work to improve collaboration between healthcare providers, health plans and employers to better support personalized, patient-centered care. Through advanced technology, education and training, insights and clinical services, we help clients better identify and actively manage high-risk populations, improve quality measurement and outcomes, and strengthen revenue. Rooted in deep clinical experience and leading-edge data science, our client-centric, phased approach to population health simplifies the transition to risk and value-based care. Our offices are located in Harrisburg, PA and Manchester, NH. To learn more, visit Geneia.com (https://www.geneia.com) or connect with us on Facebook, Twitter and LinkedIn.