Data-Driven Subrogation

Subrogation is a very old model that still depends on very old methods - spray and pray advertising and bulk marketing, and the result is a process that's around 1% efficient1. After a mass tort settlement event, a fund is created for affected individuals and their payers, and the search for eligible individuals begins. This is typically accomplished via advertising. You've probably seen or heard the commercials: "...if you or a loved one has been impacted by mesothelioma, please contact...". These ads can appear in print, radio, television, flyers - pretty much anywhere. What they have in common is this: the national average for finding individuals who qualify for a settlement based on a mass tort ruling is around 1 in 7. Even with a 1-in-7 ratio, subrogation is still a multi-billion dollar industry, and growing yearly.

1. 'TRENDS AND PRACTICES IN HEALTHCARE SUBROGATION' - Deloitte, Final Report 2013 - [Download]


No one is driving this process with data. Until now.

HaGiMo has created an enterprise data platform based on relationships with data networks, transaction networks, practice management data processing entities and other similar partners. This has allowed HaGiMo to create a very large aggregated database of longitudinal healthcare data:

  • 120M+ Domestic / U.S. Health Histories
  • 350M+ International Health Histories1
  • All Provider NPI's2 - Rendering, referring, billing, facility, etc, and full contact information for each.
  • All Diagnosis events - ICD9, ICD10, unstructured data, etc.
  • All Procedure events - CPT and HCPCS codes, unstructured data. Includes modifiers.
  • Place of Service data - Hospitals, office visits, ambulance rides, outpatient interactions, ER visits, etc.
  • All dates and times - Office visits, admission and discharge, etc.
  • Deep provider and practice information - full contact information, locations, patient and population metrics within proximity, media market information, etc.
  • US Census 2010 integration - Population metrics, financial climate, major metro proximity and services, etc.
  • PEW Institute data integration - Includes ethnicity information by region.
  • Nielsen Media Market data integration
  • Referral patterns and events
  • All health plan and payer data - All major payers, BCBS, VA, both public and private networks.
  • Patient metrics - Patient age, genders, locations
  • HIPAA and HITECH conformal - Third party certification and policy and procedures documentation available for review upon request.
  • Existing Payer Relationships - Full contact information and history with all major U.S. based payers.
1. International patient data spans 10+ countries. Please contact HaGiMo for more information.
2. NPI - National Provider Identifier. For more information, visit: https://npiregistry.cms.hhs.gov.


No advertising. No waiting. Initial numbers and projections on eligible patient populations can be generated in less than a day, and initial outreach to payers can begin in less than a week. Stop spending millions and then waiting months for the phones to ring. Contact HaGiMo now for more information, or to get your projects started.

W. Sean Harrison
CTO, Principle
Tel: 615.838.9289
Email: sean.harrison@hagimo.com

Contact

For more information, please contact:

Email

Sales Inquiries: sales@hagimo.com

Technical Support: support@hagimo.com

HIPAA and HITECH Compliance: mailto:HIPAA@hagimo.com

Telephone

Main: 615.838.9289