Natural language processing is an emerging area that can help unlock value from the vast stores of unstructured data that account for as much as 80% of all clinical data. UPMC Health Plan does just that.
Big data analytics in healthcare has largely been about looking at claims, electronic health records (EHR) and other forms of structured data. Natural language processing (NLP) is an emerging area that can help unlock value from the vast amounts of unstructured data that are pervasive in healthcare. In the emerging era of value-based payments, risk adjustments may well determine the difference between profit and loss for the health insurance industry.
UPMC Health Plan, the health insurance arm of the University of Pittsburgh Medical Center (UPMC), has deployed NLP-based technology and big data analytics to efficiently process millions of pieces of documentation to accurately identify risk adjustment possibilities and capture incremental revenue.
