©Blue Health Intelligence, an Independent Licensee of the Blue Cross and Blue Shield Association. All rights reserved.

Proprietary and Confidential. Blue Health Intelligence (BHI) is a trade name of Health Intelligence Company, LLC

Whyzen Highlights: Functionality Favorites and Methodology Review

October 16, 2019

2

Tips & Tricks Session Recap

• Introduction to Whyzen Basics

– Selecting Data

– Alternate measures and dimensions

– Filter panes

– Chart varieties

– Export options

– Drill to detail

• Intermediate Reporting and Visualization with Whyzen

– Drill path dimensions

– Identifying a cohort

– Shortcuts for selection

• Using Wildcards

– Enhanced charts

• Dual axis bar chart

• Stacked bar chart

• Gauge chart

• Map chart

• Advanced Functionality for Power Users

– Best Tip Ever

– Sort a Pivot Table

– Custom Text Box with Measures

– Custom Dimensions with IF statement

• Custom Bands

• Custom Dimension

– Basic Set Analysis (Filtered Measures)

– Building a Waterfall Chart

– Use and Price Metrics

©Blue Health Intelligence, an Independent Licensee of the Blue Cross and Blue Shield Association. All rights reserved.

Proprietary and Confidential. Blue Health Intelligence (BHI) is a trade name of Health Intelligence Company, LLC

Methodology Review

4

Methodology Review

5

National Benchmarks– Geographic Coverage

6

National Benchmarking Module– NDW Database

54MActive lives as of 2018

(Membership grows annually)

55%Members are continuously

enrolled after a three year period

32Plans contributing data

on a monthly basis

77

National Benchmarking Module– Key Value

• Ability for national accounts to benchmark in

areas where the Plan lacks experience.

• Benchmarks will be produced at a Group

Size, Account, Plan, Region and Industry

level.

• Stand alone module that leverages the

Whyzen Analytics platform with drag and drop

visualizations and data story-telling

capabilities.

• Module offers both interactive reports

(including Stories) and a static reporting

package.

7

8

9

10

11

12

Key Dimensions

• Geography

– Region Type: Metropolitan, Micropolitan, Rural

– Census Division: 10 divisions, more specific than Census Region

– State

– MSA

• Industry

– Industry Category

– Industry

13

Key Dimensions (continued)

• Clinical

– Diagnostic Category L1

– Service Type L1/L2

– Episode Type, Body System, Summary Group, Group

– Selected Procedures

– Health Screenings

– ER Indicator

– Emergent Status (Emergent, Primary Care, Potentially Avoidable, Emergent)

14

Key Dimensions (continued)

• Other

– Account Size (0-999 / 1,000-4,999 / 5,000-9,999 / 10,000-49,999 / 50,000+)

– Mental Health Indicator not in

– Network Indicator

– Expanded High Cost Claimant Band ($0, $1-$9k, $10k-$24k, $25-$49k, $50k-$99k, $100k-$299k, $300k)

15

Key Measures

• Measures: Billed, Allowed, Paid, Services; PMPM, Services/1,000, /Service

• Measure Types: Net Variance, Net Trend, Rank

• Risk Adjustment Methods: Age/Gender; Unadjusted, Severity are later

• National Benchmarks: with cell-size restriction applied (5 member / 5 provider)

Thank You