Ursa Studio Analysis of Healthcare Disparities for Health Insurer Highlighted in NEJM Catalyst
Ursa Health’s analytics development platform,
“Measuring and improving quality is an essential component to transitioning our healthcare system to one that incentives better outcomes rather than more services,” said
“Using Ursa Studio, we were able to apply a validated measure of socioeconomic disadvantage to quality, utilization, and cost metrics to understand where and why disparities occur, as well as quantify their magnitude. This is where the hard work of value-based transformation starts,” explained
The research examined (by quintile):
- Utilization and cost outcomes across the membership
- Membership in the health plan’s flagship accountable care organization (ACO) network
- Chronic kidney disease (CKD) and end-stage renal disease (ESRD)
- Maternal and perinatal health
Key findings included the following:
- Those in the highest deprivation quintile were higher users of the emergency department (ED) and less frequent users of upstream disease prevention and health optimization services, despite having commercial insurance coverage for these services. In addition, they were more frequently hospitalized and readmitted to the hospital.
- In addition, this group was disproportionately underrepresented in the ACO program.
- Although advanced kidney disease disproportionately affects the more vulnerable, cost, quality, and utilization are relatively consistent across socioeconomic status.
- Although not statistically significant, births in the highest deprivation quintile resulted in higher costs, driven by higher rates of preterm birth, cesarean delivery, postpartum admission or ED visit, and severe maternal morbidity.
From this foundation, Blue Cross NC has been able to both confirm the presence of disparities and formulate a plan of action for achieving health equity. Read the paper, “Measuring Health Disparities in a Commercially Insured Population: The First Step to Incorporate Equity into Value Transformation,” in the
To learn more about how Ursa Studio’s pre-built content and no-code technology help organizations quickly unlock the value in their data, watch our video here, or visit our website.
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