S4 Ep23: Data Challenges with Value Based Contracting (ft. Collin Gibson, Northwestern Medicine)
Jul 23, 2026 · 21 min · 10 segments
- Speakers
Colin GibsonGuestJordan CooperHost
Jul 23, 2026 · 21 min · 10 segments
Colin GibsonGuestJordan CooperHost
And, and it helps us on, on the care management side because we do see a high level of patient frustration when we get those things wrong.
So for example, if we are calling a patient, "Hey, you haven't had your annual wellness visit.
We haven't seen you for a diabetes eye exam," and those things do exist somewhere in the ether, whether that be Care Everywhere or the Humana patient list is off by a denominator or two, and they're like, "Hey, we have done this.
Uh, why is Northwestern or Humana reaching out to me? Uh, what's going on over there?"
"That, that, that I'm getting another call about something I've already completed." So, uh, we have a higher level of, uh, confidence that we're reaching out to the right people.
One is a data trust issue where you're having to manually kind of take the data from Humana and try to reconcile it with the clinical data at Northwestern in order to ensure that the numerators and denominators are accurate.
So there's a data trust issue, and then there's a patient trust issue with the institution itself.
Um, uh, and so given, uh, I'd like to dive back into the data that you're getting from Humana.
And, and it helps us on, on the care management side because we do see a high level of patient frustration when we get those things wrong.
So for example, if we are calling a patient, "Hey, you haven't had your annual wellness visit.
We haven't seen you for a diabetes eye exam," and those things do exist somewhere in the ether, whether that be Care Everywhere or the Humana patient list is off by a denominator or two, and they're like, "Hey, we have done this.
Uh, why is Northwestern or Humana reaching out to me? Uh, what's going on over there?"
"That, that, that I'm getting another call about something I've already completed." So, uh, we have a higher level of, uh, confidence that we're reaching out to the right people.
One is a data trust issue where you're having to manually kind of take the data from Humana and try to reconcile it with the clinical data at Northwestern in order to ensure that the numerators and denominators are accurate.
So there's a data trust issue, and then there's a patient trust issue with the institution itself.
Um, uh, and so given, uh, I'd like to dive back into the data that you're getting from Humana.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.