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1
Using Data Science to Monitor
Health Plan Compliance
Mehdi Jamei, Executive Director, Bayes Impact
Dec 7, 2017 - MIT GOV/LAB
2
TOC
3
● Bayes Impact, and introduction
● Bayes’ health vision
● What is network adequacy?
● Policy
○ National level
○ State level
● Current solutions
● Our solution
● Product demo
● Expanding the impact
● Government as a platform
● What is next?
Bayes Impact is a technology
nonprofit that builds data-driven
social services to empower the
underserved for a more equitable
future.
OUR MISSION
What do we do?
Augment the impact of policy
through technology.
Policy -> Execution tools -> Expanding the impact
5
A Health Care system that is
affordable, accessible, and
high-quality.
BAYES’ HEALTH VISION
ACA→
More comprehensive benefits →
Narrow networks →
Decreased access & quality :-(
7
22M buy marketplace insurance
55M depend on Medicaid
59M live in rural areas
8
99
Policy at national level
1010
Policy at state level
11
California Massachusetts Michigan
12
Bayes-DMHC partnership
13
The [Bayes Impact Network Adequacy] application transforms the way
governments and health care advocates measure and ensure reliable
access to care for millions of people. It enables governments to identify
areas of insufficient access and collaborate with health plans to build
comprehensive networks that serve everyone.
Our solution - Part 1
14
Goal: To accurately represent the population, and where they live
and work.
Farthest-First Traversal Algorithm
● Idea: Choose representative points greedily. At each
stage, find the single least represented point (measured by
distance from any already-selected points) and select it as
a representative point
● Data: USPS mail delivery route, EDDM
● Key Features:
○ Deterministic
○ Performant
○ Sequential
○ Configurable
Our solution - Part 2
15
Goal: A scalable and accurate method to measure
travel time and distance standards.
- Scale
- 101k representative points
- 70k PCPs
- More than 100 networks in CA
- Isodistance and isochrones
- Haversine vs drive distance
- Traffic and public transit
Product Demo
16
Part 1: Representative Population Generator (RPG) (link)
Part 2: Time and Distance Standards (link)
Expanding the Impact
17
Goal: Ensuring an adequate access to health care for all.
Potential applications
1. More informed interventions
2. In-network provider finder for the public
Expanding the Impact
18
Health Service Delivery Centers
Goal: To study the distribution of federally funded
clinics and asses if they are located in the most
high-need areas.
Key takeaways:
● Uninsured and low-income populations
depend on these clinics for care
● Rural areas have least access, and fewest
transportation options Access to Health Service Delivery Centers in
Southern California
Expanding the Impact
19
Access to provider’s network for the public
Goal: Empower the public to find providers
Key takeaways:
● No easy method for the public to access the directory
● The data is not reliable, nor discoverable
Realization of government as a
platform, enables us to 1) bring
transparency, and built trust 2)
amplify government’s impact and
reach.
What’s next - short term
21
● Develop the tool for DMHC
● Expand beyond CA
○ Other states
○ Federal government
● Help Gov. in designing meaningful metrics
● Partnership with researchers and policy
makers
● Design a tool to empower impactful
intervention. What is the change on the
ground?
● Build a roadmap, and ask the community
to help!
What’s next - medium term
22
● Repeat this model in other domains
○ Quality of care, QPP program with
CMS
○ Price transparency
○ Beyond Health care
Policy researchers
Linguists
Cat lovers
UX researchers
Gardeners
Photographers
Data scientists
Sailors
DevOps
Pun enthusiasts
Software engineers
Pianists
Product managers
Foodies
Designers
Writers
Physicists
Backpackers
Bayes Impact team - bayesimpact.org
23
Questions?!
24

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Data Science to Solve Social Problems – Bayes impact

  • 1. 1
  • 2. Using Data Science to Monitor Health Plan Compliance Mehdi Jamei, Executive Director, Bayes Impact Dec 7, 2017 - MIT GOV/LAB 2
  • 3. TOC 3 ● Bayes Impact, and introduction ● Bayes’ health vision ● What is network adequacy? ● Policy ○ National level ○ State level ● Current solutions ● Our solution ● Product demo ● Expanding the impact ● Government as a platform ● What is next?
  • 4. Bayes Impact is a technology nonprofit that builds data-driven social services to empower the underserved for a more equitable future. OUR MISSION
  • 5. What do we do? Augment the impact of policy through technology. Policy -> Execution tools -> Expanding the impact 5
  • 6. A Health Care system that is affordable, accessible, and high-quality. BAYES’ HEALTH VISION
  • 7. ACA→ More comprehensive benefits → Narrow networks → Decreased access & quality :-( 7
  • 8. 22M buy marketplace insurance 55M depend on Medicaid 59M live in rural areas 8
  • 9. 99
  • 10. Policy at national level 1010
  • 11. Policy at state level 11 California Massachusetts Michigan
  • 12. 12
  • 13. Bayes-DMHC partnership 13 The [Bayes Impact Network Adequacy] application transforms the way governments and health care advocates measure and ensure reliable access to care for millions of people. It enables governments to identify areas of insufficient access and collaborate with health plans to build comprehensive networks that serve everyone.
  • 14. Our solution - Part 1 14 Goal: To accurately represent the population, and where they live and work. Farthest-First Traversal Algorithm ● Idea: Choose representative points greedily. At each stage, find the single least represented point (measured by distance from any already-selected points) and select it as a representative point ● Data: USPS mail delivery route, EDDM ● Key Features: ○ Deterministic ○ Performant ○ Sequential ○ Configurable
  • 15. Our solution - Part 2 15 Goal: A scalable and accurate method to measure travel time and distance standards. - Scale - 101k representative points - 70k PCPs - More than 100 networks in CA - Isodistance and isochrones - Haversine vs drive distance - Traffic and public transit
  • 16. Product Demo 16 Part 1: Representative Population Generator (RPG) (link) Part 2: Time and Distance Standards (link)
  • 17. Expanding the Impact 17 Goal: Ensuring an adequate access to health care for all. Potential applications 1. More informed interventions 2. In-network provider finder for the public
  • 18. Expanding the Impact 18 Health Service Delivery Centers Goal: To study the distribution of federally funded clinics and asses if they are located in the most high-need areas. Key takeaways: ● Uninsured and low-income populations depend on these clinics for care ● Rural areas have least access, and fewest transportation options Access to Health Service Delivery Centers in Southern California
  • 19. Expanding the Impact 19 Access to provider’s network for the public Goal: Empower the public to find providers Key takeaways: ● No easy method for the public to access the directory ● The data is not reliable, nor discoverable
  • 20. Realization of government as a platform, enables us to 1) bring transparency, and built trust 2) amplify government’s impact and reach.
  • 21. What’s next - short term 21 ● Develop the tool for DMHC ● Expand beyond CA ○ Other states ○ Federal government ● Help Gov. in designing meaningful metrics ● Partnership with researchers and policy makers ● Design a tool to empower impactful intervention. What is the change on the ground? ● Build a roadmap, and ask the community to help!
  • 22. What’s next - medium term 22 ● Repeat this model in other domains ○ Quality of care, QPP program with CMS ○ Price transparency ○ Beyond Health care
  • 23. Policy researchers Linguists Cat lovers UX researchers Gardeners Photographers Data scientists Sailors DevOps Pun enthusiasts Software engineers Pianists Product managers Foodies Designers Writers Physicists Backpackers Bayes Impact team - bayesimpact.org 23