Business Intelligence & Analytics for Health Plans

Take Control of Your Business With Next-Generation Intelligence

Data-driven decision-making is more critical than ever for health plans. With value-based care contracts, including the capitated arrangements and outcomes-based reimbursement models that are becoming the new normal, you need to capture and compare risks and outcomes across member populations to define benefits packages and evaluate the quality of providers. With our analytics solutions, you can move beyond traditional business intelligence and reporting by leveraging structured and unstructured data in a big data environment, making data and intelligence the center of everything.

You’ll benefit from advanced business intelligence and artificial intelligence-enabled analytic solutions that will help create a comprehensive approach in managing your health plan's business needs. Our goal is to assist you with managing the complexities that exist in today’s healthcare market in order to visualize and act upon your member’s healthcare journey. We address the critical needs such as driving clinical excellence, reducing medical costs, and delivering quality services through our Business Intelligence and Analytics solutions to help you succeed in a competitive, risk-based healthcare environment. Together, we’ll turn data into insights that will help you innovate, transform and grow your business.

Medicaid Managed Care Regulation

New managed care regulation helping drive state health agencies from strategy to execution. Our in-depth white paper addresses how to use data and analytics, as well as the wealth of knowledge from recent work in the public and private sectors, to operate a sustainable Medicaid program.

GAIN NEW INSIGHTS

Empower Your Business Through Analytics

Our approach is to empower you through business intelligence and analytics to take control of your data to drive decision-making. With the ever-changing dynamics of healthcare, the leaders of tomorrow will have analytics as a core competency in their organization.

INSIGHT

Enable data-driven decision making for actionable insights and new ways of doing business

INTELLIGENCE

Support value-based care with a meaningful convergence of clinical, financial and social-economic data

TRANSFORMATION

Break down data silos in the healthcare value chain by leveraging data science and technology

Thrive in Today’s Payer Market

Today’s health plans must embrace analytics as a core competency to improve care, reduce costs and better satisfy customers. But implementing advanced analytics is easier said than done.

That’s why we developed three analytics-enabled solutions to drive new business growth and better manage key business indicators, such as medical costs, population risk and member engagement rates.

DOWNLOAD THE WHITE PAPER

Our Services

AI-Driven Predictive Analytics

Interpret and act on complex data sets with our cognitive engine that utilizes machine learning techniques to generate powerful insights faster and more cost-effectively.

Consulting

Gain insight and understanding of the continually-evolving nature of analytics in the healthcare marketplace from our experienced industry experts.

Data Integration

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.

Data Warehousing & Big Data

Improve decision making, achieve regulatory compliance, automate data management processes and break down data silos through our modular enterprise-wide analytics platform, on premise or in the cloud.

Medical Cost Management Analysis & Consulting

Uncover the root cause of unanticipated medical cost increases while enhancing the health plan/provider relationship and facilitating value-based care.

Quality Metrics Monitoring (HEDIS/Stars)

Drive provider collaboration by defining a member- level roadmap for actionable intervention across the healthcare journey and keep members engaged in their care continuum.

Transformation Blueprint

Develop a strategic blueprint to move your organization upwards on the maturity curve by assessing the current and future state for your analytics environment.

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