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INDUSTRIES/ HEALTHCARE & LIFE SCIENCES/ HEALTH PLANS

Business Intelligence and Analytics

Manage costs and risks by turning data into insights

Turn data into insights that help you manage costs and risk and attract the customers you need.

Unified, aggregated data and analytics for health plans is more critical than ever. With value-based care contracts, including capitated arrangements and outcomes-based reimbursement models becoming the status quo, you need to capture and compare risks and outcomes across member populations in order to set competitive premiums and evaluate the quality of providers.

Our Analytics Solutions help you go beyond traditional descriptive analytics and unwieldy data warehouse strategies. Get advanced business intelligence, analytics and strategic information management systems to create a systematic approach to managing health plan operations. Turn data into predictive insights that help you manage costs and risk and attract the customers you need.

Create a systematic approach to managing health plan operations by turning data into predictive insights that help you manage costs and risk and attract the customers you need.

We can help

Integrate and manage large data sets to derive meaningful insights and support healthy outcomes

Predict reimbursement experience of value-based payments

Personalize the consumer journey from acquisition to retention and renewal

Our Solutions:

Analytics Platform, Software and Solutions

Implement a wide variety of analytics through our modular enterprise-wide analytics platform. Improve decision making, achieve regulatory compliance, automate analytic processes and break down data silos to make accurate predictions.

Data Integration Services

Execute real-time data integration on a multi-tenant platform that supports cloud-to-cloud, BPaaS-to-SaaS, cloud-to-on-premises, on-premises-to-on-premises and B2B integration. Elastically scales to meet high-volume needs in mobile, batch (ETL) and EDI environments.
• Provider EHR data integration
• CMS STARS data integration
• Extracts
• Cross-platform resource expertise
• Software integration

Predictive Analytics

Interpret and act on your data with a sophisticated analytics platform to help you capture high-volume and high-velocity data for better insights.
• Propensity models
• Utilization modeling
• Provider profiling and performance
• Risk modeling
• Regulatory and program mandate compliance

Consulting

Assess current analytics to gain a 360-degree view of how current code, data and processes operate. We can design a migration strategy and roadmap for rapid implementation that’s right for you.
• Assessment and roadmap
• Data discovery architecture designing
• Current / end-state gap analysis
• Strengths, weaknesses, opportunities and threats analysis
• Project ROI benchmarking

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