Datavant is beefing up its data retrieval network with a new layer of artificial intelligence that will allow health plans and risk-bearing providers to improve operations and patient care by accessing and analyzing a trove of clinical data.
Value-based care arrangements require health plans and risk-bearing providers to navigate complicated requirements for managing patient data and monitoring population health. While providers and health plans face increasing cost pressure and administrative burden, Datavant touts that the enhanced platform will ease the administrative burden of locating and analyzing patient and member data.
Datavant’s new Clinical Insights Platform is the result of Datavant’s integration with Apixio. It acquired the company’s connected care platform and value-based care solutions in September 2024. With the release of the Clinical Insights Platform, the Apixio brand will sunset and the combined Datavant-Apixio product will be sold.
The platform is a central exchange platform for patient records that leverages Datavant’s bank of 50 million patient records from 70,000 health systems and makes the data actionable and searchable. The platform is already connected to 100% of payer organizations and 75% of provider organizations, according to the company.
With the integration of Apixio technology, risk-bearing providers can easily share both structured and unstructured data with health plans to give plans a more complete view of the member.
“Our platform simplifies critical workflows by seamlessly identifying and sharing structured and unstructured member data, and organizing that data into an intelligent, searchable, and actionable format," Datavant's Sachin Patel, general manager and president of the company's payer vertical, said in an email to Fierce Healthcare. “Health plans can then access this data and related insights via direct EHR connection or through AI-powered workflow applications, which deliver tangible cost savings and improvements to member care delivery coordination.”
For risk-bearing providers, the platform will make it easier to comply in a timely manner with requests for patient records. The increased access to patient data and the de-identified repository of thousands of patients’ records combined with the Apixio AI layer will surface data-driven insights so providers can identify conditions and associated risks burden for a patient population, manage their patients’ care and reduce overhead costs
“In the current system, stakeholders do not have all of the information necessary to drive optimal results for the patient,” Patel said. “Across life sciences, health technology innovators, payers and providers, critical data remains siloed and unstructured, making it difficult to create a comprehensive, real-time picture of patient and member health and outcomes. This data fragmentation results in inefficiencies, patient safety issues, high costs and poor outcomes across the healthcare system.”
The platform keeps track of patient care across multiple sites of care and updates the patient profile to provide clinicians and payers with the latest updates and insights about the patient.
“With these tools, providers can establish more transparent, sustainable contracting with health plans and deliver better-coordinated patient care, particularly in multi-specialty and multi-site contexts,” Patel said.