Report

Scaling Smarter: How Leading Health Plans Use Data to Improve Outcomes and Control Costs

New survey insights from Arcadia and Healthcare Dive reveal what separates high-performing health plans from the rest and how to apply their data strategies across your organization.

What’s inside:

Payer priorities are changing with the market

Cost-containment now outweighs growth as a strategic priority, with most payers focusing on improving risk accuracy and network performance over expanding membership.

Growth Has Plateaued—But Performance Gains Haven’t

Policy changes and payment reform are making it more challenging to grow the bottom line. With little more to squeeze out of the sponge, plans — regardless of their participation in risk-sharing agreements — are turning to smarter analytics to drive better financial performance.

Everyone Has Data. Few Know What to Do With It.

Despite payers investing in analytics capabilities, fundamental challenges, like acting on insights, prevent some organizations from making the best use of technology.

Health plans that empower providers with data and tools create a competitive advantage, like closing more care gaps faster and improving outcomes at scale.

Improve your plan's performance

Download the report to learn how the most successful payer organizations are:

Using longitudinal member data to improve accuracy and insight
Driving quality and cost improvements through AI and analytics
Enabling networks and providers to deliver whole-person care