Provider Payer Collaboration Changes the Game for Managed Care Audit Processing

A health system and health plan that overlap significantly in their geography needed closer collaboration to succeed under value-based care arrangements. Datavant implemented a digital solution addressing both the provider's and payer's needs for managed care audit processing. The page states this positions their shared care ecosystem to better deliver on value-based care, quoting that patients and members benefit because their care network can "effectively deliver on the promise of value-based care." No specific quantitative outcomes are given on the page.

The customer is anonymised in Datavant’s own case study — not withheld by us.

Datavant is the tokenization and linkage infrastructure behind most of the US real-world-data ecosystem — it de-identifies and connects patient records across health-data partners without exposing PII.

This sits in the Data Providers stage of the AI use-case lifecycle: Named examples from the real-world-data, claims and competitive-intelligence providers pharma AI systems are trained on, benchmarked against, or run inside of.