Healthcare data transparency, provider benchmarking, and value-based analytics are transforming patient outcomes and network optimization in the U.S.

On Analyzing Healthcare, Keith Somers—CEO of Health Corum—explores how risk-adjusted claims and outcomes data from Medicare and commercial payers drive smarter decisions for payers, employers, and patients. Health Corum benchmarks over 1.5 million providers, enabling fair, data-driven comparisons by adjusting for patient complexity and demographics. The discussion reveals why price doesn’t equal quality, showcases regional variations, and highlights how data-driven transparency empowers stakeholders to build higher-performing networks and advance value-based care nationwide.

Title- How Can Data-Driven Insights Transform Healthcare Delivery? Keith Somers, Health Corum x SCALE Community

Key Timestamps

• {00:00} Introduction to Health Corum
• {01:14} The Unique Approach of Health Corum
• {04:21} Understanding the End Users
• {06:47} Provider Engagement and Transparency
• {08:32} Data Coverage and Analytics
• {10:14} Data Sources and Partnerships
• {12:39} Clinician Involvement and Data Integrity
• {13:41} Market Position and Competitors
• {15:16} Use Cases and KPIs for Payers
• {20:50} Value-Based Care Evaluation
• {23:01} Consumerization of Healthcare
• {24:01} Strategic Partnerships and Price Transparency
• {26:59} Insights from Data Analysis in Healthcare
• {34:47} Regional Variations in Healthcare Quality and Costs
• {40:02} Impact of COVID-19 on Healthcare Utilization

Key Takeaways

• Health Corum delivers granular, transparent analytics to support smarter healthcare decisions.
• Founded out of frustration with healthcare’s lack of actionable data.
• Benchmarks 1.5 million providers nationwide using claims data from Medicare and commercial payers.
• Focuses on care effectiveness, quality outcomes, and provider performance within specialties.
• Empowers patients, payers, and employers to make data-driven choices.
• Health plans use insights for network optimization and improved patient care.
• Providers use benchmarking to identify areas for improvement.
• Strategic partnerships advance price transparency, aligning quality scores with costs.
• Data analysis shows that high healthcare prices do not always equal high quality.
• Healthcare quality and costs vary widely by region.
• Texas stands out for strong outcomes despite less medical education recognition.
• COVID-19 delayed care and changed patient utilization habits.
• Healthcare prices don’t reliably reflect demand or quality.
• Innovation often thrives in the Midwest and South, where competition and tight budgets drive adoption.
• Understanding local healthcare dynamics is essential for lasting solutions.

Guest Bio – Keith SomersKeith Somers is CEO & Co-Founder of Health Corum, pioneering healthcare transparency and value-based analytics. By leveraging advanced data science to benchmark provider performance, Keith empowers payers, employers, and health systems to achieve superior clinical and financial outcomes—setting new standards for quality and accountability in healthcare.

🔗⁠ Connect with Keith Somers on LinkedIn⁠

About the Host – Roy Bejarano

Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation. ⁠Connect with Roy Bejarano on LinkedIn⁠

KeywordsHealthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care, Health Corum, Keith Somers, Claims Data, Provider Benchmarking, Network Optimization, Risk Adjustment, Data-driven Healthcare, Clinical Quality, Payer Solutions, Employer Strategy, Digital Health, Patient Outcomes, Health IT, Healthcare AI, Population Health, Executive Interview, Innovation