And to gather additional contextual data that is not included in the claims data, CareFirst has partnered with Rockford, Ill.-based FIGmd, a software platform that supports data submission processes within different health systems across the country. “The whole idea of FIGmd is that we’re going to be getting clinical information that typically is not shared via claims and it’s a huge gap. It’s a gap for care managers. It’s a gap for providers and for the payers,” said Rabovsky.
The partnership started in October 2017 and the idea of collecting more contextual claims data was started in June 2021. “In very simple terms, we are a partner that helps CareFirst get access to the data that is critical for proper care for the members and then utilize the data for driving purposes that will actually improve the outcomes for the members,” said Thirumalai Rajagopal, senior vice president, payer solutions at FIGmd’s parent company MRO.