Blog

Here at Apixio, we eat, sleep, and breathe the intersection of data science and healthcare. We keep up with the latest in deep learning while reading recent studies in Health Affairs and late breaking Medicare regulatory changes. We have provocative opinions – and we encourage real debate. Join us!

Intel and Apixio Release Big Data Analytics Whitepaper

By Anita Joseph

Today, Intel released a whitepaper profiling Apixio’s innovative application of big data analytics to the healthcare space, through its risk adjustment application HCC Profiler. The whitepaper describes how Scripps Health used HCC Profiler to review 21,000...

Five Intriguing Themes from the Latest Medicare Advantage Stats

By Anita Joseph

The Better Medicare Alliance, a health insurance trade group with 43 members, recently published a series of research fact sheets on the government’s Medicare Advantage (MA) program. These fact sheets explore MA’s influence on primary...

Handling the Hype Around Interoperability

By Anita Joseph

“We are deadly serious about interoperability,” said Centers for Medicare and Medicaid Services chief Andy Slavitt at the JP Morgan Healthcare Conference, “technology companies that look for ways to practice ‘data blocking’ in opposition to...

Ten ICD-10 Codes That Influenced Harry Potter

By Jamie Urborg

In honor of Alan Rickman’s passing, we thought it appropriate to celebrate his talented turn as Hogwarts Potions Master Severus Snape. Here are 10 ICD-10 diagnoses that influenced the magical world of Harry Potter. 1. In...

So You Don’t Have Time to Read the CMS RADV Audit Proposal

By Anita Joseph

Last week, CMS proposed expanding the risk adjustment audit program to cover all Medicare Advantage (MA) plans, every year. This is because they believe that mistakes in the diagnosis data that MA organizations submit to...

Understanding Healthcare’s Data Problem: 2015 Tech In Review Edition

By Jamie Urborg

Understanding the full state of the patient is a difficult task for physicians when 80% of data is tough to access. What does it mean to only have 20% of all possible info? Play the latest...

Ending the Quality Wars

By Anita Joseph

Quality has been a fraught concept in healthcare for many years. What does “high-quality” healthcare mean? Is it a lower mortality rate? Is it patients being able to get a next-day appointment with a specialist? Is...

Apixio’s Top Five Blog Posts of 2015

By Jamie Urborg

It's been a big year for us! We crunched the numbers and found the five most popular blog posts this year. 1.  Top 5 healthcare Podcast Episodes of 2015 2. Quality is both the problem and the...

Ten ICD-10 Codes that Changed Star Wars

By Anita Joseph

Star Wars: The Force Awakens took in a mind-boggling $517 million at the international box office this weekend. Because Star Wars and ICD-10 are both things we at Apixio nerd out about, here are the top...

Quality is Both the Problem and the Solution to Our Healthcare System’s Ills

By Mark Scott

It’s a sad paradox that the Unites States leads the world in GDP, scientific discovery, and innovation, but lags in the delivery of healthcare. According to the OECD, the U.S. spends almost twice as much...

Top 5 Healthcare Podcasts of 2015

By Anita Joseph

If 2014 was the year of Snapchat and 2013 the year of Instagram, 2015 was the year of the podcast. Podcast are digital audio files that can be downloaded to a computer or smartphone. Everyone...

An ICD-10 Holiday Special: When “Ho, ho, ho!” turns into “Oh, no, no!”

By Jamie Urborg

The holiday are upon us, which means gifts, family, friends and plenty of tasty treats. Let’s not forget though that through the rush of preparing and celebrating a number of injuries can occur. To keep...

The Hidden Cost of Medical Scribes

By Anita Joseph

When medical scribes first came to prominence, many in the healthcare community thought they would be a temporary solution. Scribes work alongside physicians and enter necessary information into the electronic medical record (EMR) while physicians...

Hats Off to CMS for Considering More Generous Risk Adjustment for Dual Eligibles

By Anita Joseph

Last week, the risk adjustment world received promising news from the Centers for Medicare and Medicaid Services (CMS). Cheri Rice, the Director of the Medicare Plan Payment Group authored a letter revealing that CMS underpays...

Understanding Healthcare’s Data Problem: Album Cover Edition

By Jamie Urborg

In healthcare, developing strong patient diagnosis and treatment recommendations takes time, resources and data. As patient data grows at an exponential rate, comprising an expected 25,000 petabytes in 2020, healthcare organizations are faced with the challenge of extracting...

The Data Analyst Will See You Now

By Anita Joseph

NPR recently wrote an article about a project NYU medical school students are required to do entitled, “Health Care By the Numbers.” In the project, students are given access to a massive data set with...

Trick or Trauma – An Apixio Halloween Special

By Jamie Urborg

Witches, ghosts and zombies, oh my! The spookiest time of year is just a day away, and we want to make sure you are well prepared for this year’s Halloween celebrations. In helping you avoid...

Understanding Healthcare’s Data Problem: Global Landmarks Edition

By Anita Joseph

The U.S. produces over a billion clinical care documents annually, but nearly 80 percent of the data they contain is unstructured and therefore difficult to access, assemble, understand, and use. If we could access and...

Understanding Healthcare’s Data Problem: How Well Would You Do With 20%?

By Jamie Urborg

In healthcare, the information needed to provide high-quality care is difficult to access. In fact, more than 80% of the information about your medical care is written in hospital and physician office records; it is...

Three Reasons Why Diagnosis Codes Should Be the “Single Source of Truth” for ACOs

By Anita Joseph

Last week, the Centers for Medicare and Medicaid Services (CMS) announced that it reduced the Medicare Accountable Care Organization (ACO) awards for 65 organizations by $41 million due to poor quality performance. ACOs are groups...

Risk Adjustment: Healthcare’s Secret Weapon

By Mark Scott

Did you know that nearly 60 million Americans are covered by an insurance plan that requires “risk adjustment”? Why is risk adjustment important and how can it drive healthcare to a quality level we expect...

Practice Based Evidence: The Cure to the Ills of Evidence Based Medicine

By Darren Schulte

We are at a crossroads in our collective quest to improve healthcare delivery. For decades, thousands of academic studies have been conducted to tell us what might or might not work in patient care. Like...

10 Jokes Only Data Scientists Will Understand

By Jamie Urborg

We’ve crunched the numbers, and from the data we’ve collected, there's a high probability you will get a laugh (or two!) from our list of 10 jokes data scientists will understand: 1. There are two kinds...

In Case You Missed It…Five Essential Healthcare Tweets From Last Week

By Anita Joseph

Did you get busy with work and forget to scan your healthcare Twitter last week? Well, the cheat sheet below should have you covered. Read on to discover what policy experts, writers, and venture capitalists...

Why Digital Health Companies Will Fail Without Risk Identification Analytics

By Darren Schulte

Payers are the real customers for healthcare technology, and they care about cost. It’s well understood that having great technology is an essential starting point for any tech company. But the companies that ultimately succeed...

An ICD-10 Guide to Game of Thrones

By "Varys"

The sixth season of HBO's Game of Thrones doesn’t start until April 2016. But rejoice, GoT fans: winter is coming in the form of ICD-10 codes. Tomorrow, U.S. health providers must start using a massive new set...

We Don’t Know What We Don’t Know About Your Personal Health…and That’s a Problem

By Mark Scott

In the U.S., the Health Story Project has estimated that we produce 1.2 billion documents related to clinical care each year. Big data experts generally agree that 60-80% of the clinical data in those documents...

What’s Wrong With Physician Coding?

By Darren Schulte

Today physicians are increasingly dissatisfied with the practice of medicine, especially primary care providers. According to Merritt Hawkins’ 2014 Survey of America’s Physicians, 44% of doctors plan to cut back on patients seen, retire, work...

A Data Science Defense of ICD-10

By John Schneider

This fall, healthcare organizations are going to have to start using a new naming convention for conditions patients have. The current ontology being used in the U.S. is the ninth revision of the International Classification...

EQ vs IQ: Cognitive Computing and the Emotive Physician

By Anita Joseph

Working at a technology company that has developed a cognitive computing platform, it’s hard to not ponder whether in ten years a computer will have your job. Skills I’ve worked very hard to master, like knowledge...

Apixio Featured in Forbes

By Mark Scott

Today, Apixio was featured in a Forbes article for its role in the transition to ICD-10. Author Robert J. Szczerba discusses anxiety in the healthcare world over ICD-10, writing, "The 'new' ICD-10 codes have been in use...

Mind the Gap: Where Evidence-Based Medicine Fails

By Darren Schulte

Evidence-based medicine (EBM) is a popular approach to helping physicians make appropriate care decisions. It has gained tremendous popularity within the medical community; in a 2013 survey, 75% of health system chief medical officers said...

10 of the Most Bizarre ICD-10 Codes

By Jamie Urborg

The ICD-9 to ICD-10 transition date is looming, and provider offices are cramming to get up to speed on the new code set. It is a struggle because ICD-10 is more complicated and extensive than...

A Key for Effective Population Management: Use of Proper Risk Adjustment Data

By Darren Schulte

The way that America pays for healthcare is changing completely. We are moving away from a “fee-for-service” healthcare system, where clinicians are paid for every service provided, to a “fee for value” one where teams...

Introducing the Apixio Blog

By Mark Scott

Today we're launching our blog! American healthcare is at an important crossroads, and there are no shortage of big problems to solve. How do we represent patients' clinical lives online with efficiency, accuracy, and security?...

Select Customers