Developing IQVIA’s positions on key trends in the pharma and life sciences industries, with a focus on EMEA.
Learn more
Developing IQVIA’s positions on key trends in the pharma and life sciences industries, with a focus on EMEA.
Learn more
Developing IQVIA’s positions on key trends in the pharma and life sciences industries, with a focus on EMEA.
Learn more
Developing IQVIA’s positions on key trends in the pharma and life sciences industries, with a focus on EMEA.
Learn more
"We strive to help improve outcomes and create a healthier, more sustainable world for people everywhere.
LEARN MORE
Reimagine clinical development by intelligently connecting data, technology, and analytics to optimize your trials. The result? Faster decision making and reduced risk so you can deliver life-changing therapies faster.
Research & Development Overview
Generate and disseminate evidence that answers crucial clinical, regulatory and commercial questions, enabling you to drive smarter decisions and meet your stakeholder needs with confidence.
REAL WORLD EVIDENCE OVERVIEW
Elevate commercial models with precision and speed using AI-driven analytics and technology that illuminate hidden insights in data.
COMMERCIALIZATION OVERVIEW
Orchestrate your success across the complete compliance lifecycle with best-in-class services and solutions for safety, regulatory, quality and medical information.
COMPLIANCE OVERVIEW
When your destination is a healthier world, making intelligent connections between data, technology, and services is your roadmap.
TECHNOLOGIES OVERVIEWExplore our library of insights, thought leadership, and the latest topics & trends in healthcare.
DISCOVER INSIGHTSAn in-depth exploration of the global healthcare ecosystem with timely research, insightful analysis, and scientific expertise.
SEE LATEST REPORTS
By making intelligent connections between your needs, our capabilities, and the healthcare ecosystem, we can help you be more agile, accelerate results, and improve patient outcomes.
LEARN MORE
Building on a rich history of developing AI for healthcare, IQVIA AI connects the right data, technology, and expertise to address the unique needs of healthcare. It's what we call Healthcare-grade AI.
LEARN MORE
The IQVIA Human Data Science Cloud is our unique capability designed to enable healthcare-grade analytics, tools, and data management solutions to deliver fit-for-purpose global data at scale.
LEARN MORE
The IQVIA Innovation Hub connects start-ups with the extensive IQVIA network of assets, resources, clients, and partners. Together, we can help lead the future of healthcare with the extensive IQVIA network of assets, resources, clients, and partners.
LEARN MORE
IQVIA Decentralized Trials deliver purpose-built clinical services and technologies that engage the right patients wherever they are. Our hybrid and fully virtual solutions have been used more than any others.
LEARN MORE
Empowering patients to personalize their healthcare and connecting them to caregivers has the potential to change the care delivery paradigm. IQVIA and Apple are collaborating to bring this exciting future of personalized care directly to devices patients already have and use.
LEARN MOREOur mission is to accelerate innovation for a healthier world. Together, we can solve customer challenges and improve patient lives.
LEARN MORECareers, culture and everything in between. Find out what’s going on right here, right now.
LEARN MORE
"Improving human health requires brave thinkers who are willing to explore new ideas and build on successes. Unleash your potential with us.
SEARCH JOBSAs value-based care arrangements proliferate throughout the healthcare industry, accurate risk adjustment has become more crucial for payers to ensure they are properly compensated for assuming greater financial risk for patients.
In many value-based contracting agreements, and notably Medicare Advantage, health plans receive set monthly payment amounts to manage the care of their members. Those monthly payment amounts are determined by risk scores that are associated specific clinical diagnoses, which are represented in claims data as ICD10-CM codes, bundled into various diagnostic groups called Hierarchical Condition Categories (HCCs).
When payers don’t capture the full spectrum of a patient’s diagnoses, they may be at risk for cost overruns associated with treating those unidentified conditions. As a result, it is critical for payers to gain 360-degree visibility into patient electronic health records (EHRs) to identify all diagnoses that may point to underlying conditions.
The challenge is that much of this key data is buried as unstructured text in patient records, making the information difficult to extract for risk adjustment. Indeed, it’s estimated that about 80% of medical data remains unstructured and untapped after creation.
Traditionally, to comb through patient records and obtain key risk-adjustment data, payers have relied on expensive and time-consuming chart reviews, in which medical workers manually read through pages upon pages of patient records to spot diagnoses. In other cases, payers outsource these reviews to third-party companies.
Today, more payers are looking to automate these manual processes using natural language processing (NLP) to capture key diagnostic data and risk-adjustment information. NLP is an artificial-intelligence-based technology that extracts and synthesizes the high-value information hidden in unstructured text. NLP-based text mining solutions can analyze unstructured text to identify the key facts, interpret the meaning, and extract and present facts in a structured form for payers to review, analyze, and summarize.
Our Natural Language Processing (NLP) Risk Adjustment solution enables payers and providers to connect technology with subject matter expertise in an easy-to-use workflow. This more accessible approach ensures a higher level of confidence in an organization’s risk adjustment submissions.
In addition, the NLP Risk Adjustment solution is scalable, with the ability to process millions of records an hour. Dashboard tools provide timely, reliable intelligence that enriches coding teams’ analysis and tracks progress and productivity, while advanced AI-powered chart extraction drives accurate and actionable codes from unstructured data to reduce the risk of errors. Medical chart review time is further reduced with the solution’s intuitive one-click acceptance of suggested HCC or ICD10-CM codes.
Accurate risk adjustment is essential for payers in value-based care and Medicare Advantage plans. With our proven, flexible, and customizable NLP tools, payers can identify care gaps, improve documentation accuracy, and perform prospective reviews to lower costs and generate better patient outcomes.
IQVIA is using vast quantities of data in powerful new ways. See how we can help you tap into information from past trials, patient reported outcomes and other sources to accelerate your research.
Insights are trapped in mountains of text. NLP sets them free.
See how we partner with organizations across the healthcare ecosystem, from emerging biotechnology and large pharmaceutical, to medical technology, consumer health, and more, to drive human health forward.
The tools and the data to keep growing.
