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Unified Data Intelligence

The Power of Integrated Insight

Unified Data Intelligence is the technological core that makes Avanta's integrated model revolutionary. It's our expertise in breaking down the traditional silos between clinical data and member benefits commerce data. This integration creates a single, comprehensive view of every member, transforming data from a simple report into a powerful engine for predictive health management and cost control.

Why Unified Data is Essential

Standard healthcare analytics are limited because they only capture medical claims and electronic health records (EHRs). Our platform captures the non-clinical behavioral data—what resources a member buys and how often—which is often the earliest predictor of health risk and service adherence.

Core Objectives:

  • Predictive Risk Mitigation: Identify members at risk of an acute event or service non-adherence before a high-cost claim occurs.
  • Actionable Insights: Translate complex data into specific, automated alerts for care teams and benefits managers.
  • Value Quantification: Precisely measure the financial return on investment (ROI) of benefits commerce spending.
Predictive Risk Modeling

We use advanced analytics to flag member populations that are most likely to increase the Total Cost of Care (TCOC).

  • Behavioral Health Indicators: Analyzing patterns in benefits usage (e.g., sudden changes in OTC purchases, or non-utilization of healthy food allowances) as early indicators of risk or socioeconomic distress.
  • Gap Closure Automation: Automated flagging and notification of care teams when a member's commerce activity suggests a need for clinical follow-up or intervention.
  • Social & Clinical Segmentation: Grouping members based on a combination of their clinical risk score and their resource utilization patterns for targeted outreach.
Total Cost of Care (TCOC) Reporting

We provide the definitive view of how the benefits commerce platform is impacting overall healthcare spending.

  • Benefits-to-Claims Correlation: Quantifying the direct financial relationship between utilization of non-clinical benefits (Pillar 3) and reductions in high-cost medical claims.
  • Program ROI Analysis: Detailed reporting on the true return on investment for specific supplemental benefit programs, enabling plans to optimize future benefit design.
  • Financial Benchmarking: Providing transparency and comparing plan performance against aggregated, anonymized integrated market data.
Single Source of Truth Platform

Our user interface provides a unified, intuitive dashboard for all stakeholders—from plan executives to front-line care managers.

  • Unified Member Dashboard: A single view showing a member's clinical status (from MSO data) alongside their benefits fulfillment history (from Commerce data).
  • Security & Compliance: Robust, HIPAA-compliant data security ensuring all protected health information (PHI) and purchasing data remains secure and private.
  • API Integration: Seamless, real-time integration capabilities with existing Payer and Provider EHR systems.

The Avanta Advantage

Our data is unique because it combines the "Why" (clinical diagnosis) with the "What" (daily resource fulfillment). By making this data accessible and actionable, we enable our partners to drive proactive, preventative care that not only improves member health but also delivers sustainable, measurable financial outcomes.