HEALTH DATA ANALYTICS OPTIMIZED CLINICAL AND FINANCIAL OUTCOMES DELIVERED FOR YOUR POPULATION HEALTH MANAGEMENT PROGRAMS

Size: px
Start display at page:

Download "HEALTH DATA ANALYTICS OPTIMIZED CLINICAL AND FINANCIAL OUTCOMES DELIVERED FOR YOUR POPULATION HEALTH MANAGEMENT PROGRAMS"

Transcription

1 HEALTH DATA ANALYTICS OPTIMIZED CLINICAL AND FINANCIAL OUTCOMES DELIVERED FOR YOUR POPULATION HEALTH MANAGEMENT PROGRAMS

2 HOW WE HELP YOU MAXIMIZE THE VALUE OF YOUR POPULATION HEALTH INITIATIVES Indegene s Health Data Analytics solution suite helps your organization address the current challenges of Population Health Management by systematically delivering powerful insights and driving clinical and business outcomes. Indegene Health Data Analytics Suite includes SmartCare, a proprietary validated analytics platform, multiple data integration and management tools as well as clinical and operational services. We currently serve Commercial, Medicare and Medicaid Health Plans, Employers and Health Systems. Our Data help address client challenges such as data integration, normalization and manage complex data challenges. Our Program Management deliver management support that augments your internal resources and help drive clinical and business outcomes. Our Business Intelligence and Reporting Analytics discovers smart patterns and provides the right information at the right time to the right audience. Our Volume-to- Transformation provide insights to support population health management programs and improve outcomes. We operate on a service or subscription model and deliver value to your organization by leveraging our domain expertise, healthcare program management experience and comprehensive analytics capability. DATA SERVICES Acquire and aggregate claims and clinical data from various providers and health plans into a data warehouse using our unique data architecture, ETL, MDM, quality and governance frameworks Quick insights delivered from episodes-of-care Reduced costs and efforts in clinical integration of your clinical and claims data Benefit from critical benchmark comparison Data BI and Reporting Analytics Health Data Analytics Solution Suite Program Management Volume-To- Transformation PROGRAM MANAGEMENT SERVICES Development of Risk Management Plans based on our proprietary Risk Governance (I-RISE) framework for identifying and stratifying risks and discovering opportunities for engagement Provide Quality Management services for defining and monitoring network quality through process accelerators such as checklists, benchmarking reports and utilization metrics, monitor compliance to clinical coding standards and medical record retrievals and track care for chronic and acute conditions Improved Care Quality Cost Optimization Improved Utilization 2 3

3 BUSINESS INTELLIGENCE AND REPORTING ANALYTICS SERVICES Identify risk, cost, revenue, and quality opportunities through context-based presentation and visualization Streamlined Reporting VOLUME-TO-VALUE TRANSFORMATION SERVICES ACTIONABLE Get actionable insights to support population health management programs and improve outcomes Deploy advanced risk analytics and predictive modeling capabilities to - Identifying at-risk populations and stratify risk using industry standard models (3M's CRG, HHS-HCC, CMS-HCC models) or customized home grown/ in-house models INTELLIGENCE DELIVERED - Stratify patient population and analyse case mix, DRG, SOI and patient mortality in relation to costs - Forecast readmissions - Refine Contract Models - Determine utilization levels - Benchmark and more Brings focus on the patient population where care is needed most Helps identify key quality and cost improvement opportunities Get insights to develop and optimize your Population Health Program strategy 4 5

4 SAMPLE REPORTS SAMPLE USE CASES Quality Measure Reports Top DRGs by Frequency Report. Top DRGs by Payment Report. Review compliance with clinical Benchmark providers based on Isolate and address EandM Resource Utilization Comparison of a Physician to all guidelines with treatment pattern review. casemix-adjusted comparisons for key metrics such as LOS and coding abuse. Physicians. readmissions for over 30 defined disease treatment protocols. Surgery Categories Distribution Report. Comparison across different datasets Office Visit Coding Patterns, Pap Smear Exams, Wellness Exams, Inpatient Utilization. Identify resource utilization like Analyse casemix, DRG, SOI and Predict next year s charges for Insights from both Structured and Unstructured emergency room visits by PCP to identify potential lapses in care. patient mortality in relation to costs. treating a patient population based on clinical risk groups. datasets. Predictive Modeling Reports Master Severity Distribution Reports. Risk Scoring by PCP, Plan, Region. Risk Distribution by Patient for each PCP and by Region. Plan Membership Reports Overall membership report within specified time range with member months and financials. Patient counts across custom categories. 6 7

5 ABOUT INDEGENE HEALTHCARE: Indegene's Healthcare delivers Next Generation Solutions For Payers and Providers across Risk Adjustment, Quality Improvement, Population Health Management and Member/Provider Engagement. Indegene leverages its significant capabilities across Analytics, Technology, Operational Scale and Medical Expertise to help Payers and Providers drive better Health and Business Outcomes. Indegene has a strong focus on IP and innovation, with a full portfolio of platforms including HEDISPro and STARMAX for Quality Improvement, RiskOptimizer, ProspectiveEnhance and EncounterPlus for Risk Adjustment, iclinengager and Ngage for Provider and Member Engagement, CareMax for Care Management and SmartCare, an integrated enterprise analytics platform for Population Health Management. 485B Route 1 South, Suite 300, Iselin, NJ P F E W Indegene Healthcare. All rights reserved

your EHR s 3M Core Grouping Software

your EHR s 3M Core Grouping Software Delivering value-added software to your EHR s revenue cycle and analytic workflows 3M Core Grouping Software Healthcare IT systems are the heart and soul of revenue cycle workflows. But often they depend

More information

Empowering Value-Based Healthcare

Empowering Value-Based Healthcare Empowering Value-Based Healthcare Episode Connect, Remedy s proprietary suite of software applications, is a powerful platform for managing value-based payment programs. Delivered via the web or mobile

More information

Empowering Value-Based Healthcare

Empowering Value-Based Healthcare Empowering Value-Based Healthcare Episode Connect, Remedy s proprietary suite of software applications, is a powerful platform for managing value based payment programs. Delivered via the web or mobile

More information

The Big Data Dividend

The Big Data Dividend The Big Data Dividend Enhancing Revenue in an Era of Change May 7, 2015 Agenda Big Data Sample Healthcare Big Data Sets Healthcare Applications of Big Data Revenue Enhancement Opportunities Rate Benchmarking/Rate

More information

Career Opportunities in Healthcare Analytics presented by Kaiser Permanente Northwest Region. Today s Speakers. Friday, May 13 at 1:00 pm.

Career Opportunities in Healthcare Analytics presented by Kaiser Permanente Northwest Region. Today s Speakers. Friday, May 13 at 1:00 pm. Career Opportunities in Healthcare Analytics presented by Kaiser Permanente Northwest Region Friday, May 13 at 1:00 pm Today s Speakers Background Brian Sikora, Director Delilah Moore, Manager Corporate

More information

PRIME DIMENSIONS. Revealing insights. Shaping the future.

PRIME DIMENSIONS. Revealing insights. Shaping the future. PRIME DIMENSIONS Revealing insights. Shaping the future. Service Offering Prime Dimensions offers expertise in the processes, tools, and techniques associated with: Data Management Business Intelligence

More information

Apigee Insights Increase marketing effectiveness and customer satisfaction with API-driven adaptive apps

Apigee Insights Increase marketing effectiveness and customer satisfaction with API-driven adaptive apps White provides GRASP-powered big data predictive analytics that increases marketing effectiveness and customer satisfaction with API-driven adaptive apps that anticipate, learn, and adapt to deliver contextual,

More information

The Promise of Healthcare Analytics with FTI Catalyst. By Prof. Asha Saxena, Columbia Business School CEO, FTI Catalyst

The Promise of Healthcare Analytics with FTI Catalyst. By Prof. Asha Saxena, Columbia Business School CEO, FTI Catalyst The Promise of Healthcare Analytics with FTI Catalyst By Prof. Asha Saxena, Columbia Business School CEO, FTI Catalyst Asha Saxena, President & CEO, fticorporate.com, fticatalyst.com President and CEO

More information

Using analytics to get started with population health. The 3M 360 Encompass Health Analytics Suite

Using analytics to get started with population health. The 3M 360 Encompass Health Analytics Suite Using analytics to get started with population health The 3M 360 Encompass Health Analytics Suite The need for analytics in health care The global healthcare analytics market is expected to reach $21 billion

More information

3M s unique solution for value-based health care

3M s unique solution for value-based health care A quick guide to 3M s unique solution for value-based health care Volume-based health care Part 1: Helping your organization navigate the journey from volume- to value-based health care. Value-based health

More information

Solution Overview. Fusion Health Advantage Big Data Accelerator Platform

Solution Overview. Fusion Health Advantage Big Data Accelerator Platform Solution Overview Fusion Health Advantage Big Data Accelerator Platform Improve Patient Outcomes And Manage Them Cost Effectively Healthcare reform measures have intensified governmental scrutiny, thereby

More information

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use June 23, 2011 Avalere Health LLC Avalere Health LLC The intersection of business strategy and public policy Table of

More information

Supplemental Technical Information

Supplemental Technical Information An Introductory Analysis of Potentially Preventable Health Care Events in Minnesota Overview Supplemental Technical Information This document provides additional technical information on the 3M Health

More information

PERFORMANCE MANAGEMENT DASHBOARDS FOR HEALTHCARE PROVIDERS

PERFORMANCE MANAGEMENT DASHBOARDS FOR HEALTHCARE PROVIDERS PERFORMANCE MANAGEMENT DASHBOARDS FOR HEALTHCARE PROVIDERS Introduction The Benefits of Dashboards The 1990s saw the birth of dashboards as a visual and insightful alternative to traditional reports. Widespread

More information

Five Myths Surrounding the Business of Population Health Management

Five Myths Surrounding the Business of Population Health Management Five Myths Surrounding the Business of Population Health Management Joan Moss, RN, MSN Robert Sehring Chief Nursing Officer and Chief Ministry Services Officer, Senior Vice President, Sg2 OSF HealthCare

More information

GE Healthcare. ehealth: Solutions to Transform Care Delivery

GE Healthcare. ehealth: Solutions to Transform Care Delivery GE Healthcare ehealth: Solutions to Transform Care Delivery This presentation does not constitute a representation or warranty or documentation regarding the product or service featured. All illustrations

More information

Let the Potential of Your Business Emerge. Paragon Solutions Inc. Proprietary

Let the Potential of Your Business Emerge. Paragon Solutions Inc. Proprietary Let the Potential of Your Business Emerge About Paragon Solutions Paragon provides a full spectrum of consulting services, from advisory through solution design and implementation, for tighter alignment

More information

Submitted to: Service Definition Document for BI / MI Data Services

Submitted to: Service Definition Document for BI / MI Data Services Submitted to: Service Definition Document for BI / MI Data Services Table of Contents 1. Introduction... 3 2. Data Quality Management... 4 3. Master Data Management... 4 3.1 MDM Implementation Methodology...

More information

SUCCESSES AND CHALLENGES DEVELOPING AN ENTERPRISE CLINICAL ANALYTICS SOLUTION Ambulatory Information Management (AIM)

SUCCESSES AND CHALLENGES DEVELOPING AN ENTERPRISE CLINICAL ANALYTICS SOLUTION Ambulatory Information Management (AIM) SUCCESSES AND CHALLENGES DEVELOPING AN ENTERPRISE CLINICAL ANALYTICS SOLUTION Ambulatory Information Management (AIM) Dennis P. Sweeney, MBA July 16, 2013 Dennis P. Sweeney, MBA Mr. Dennis Sweeney, Tellogic

More information

The Business Case for Using Big Data in Healthcare

The Business Case for Using Big Data in Healthcare SAP Thought Leadership Paper Healthcare and Big Data The Business Case for Using Big Data in Healthcare Exploring How Big Data and Analytics Can Help You Achieve Quality, Value-Based Care Table of Contents

More information

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have

More information

Healthcare Data Management

Healthcare Data Management Healthcare Data Management Expanding Insight, Increasing Efficiency, Improving Care WHITE PAPER This document contains Confidential, Proprietary and Trade Secret Information ( Confidential Information

More information

Computer-assisted coding and documentation for a changing healthcare landscape

Computer-assisted coding and documentation for a changing healthcare landscape Computer-assisted coding and documentation for a changing healthcare landscape Reality is, in this new ICD-10 environment, providers will have two options: a) work harder; or b) find a new way to do things.

More information

How much data is enough? Data prioritisation using analytics

How much data is enough? Data prioritisation using analytics How much data is enough? Data prioritisation using analytics ABOUT BIZDATA Established in 2005 Experts in Data Management and Business Intelligence Have delivered over 200 projects Provide services to

More information

How to Enable Value-Based Care and Clinical Integration with Epic Cogito

How to Enable Value-Based Care and Clinical Integration with Epic Cogito How to Enable Value-Based Care and Clinical Integration with Epic Cogito Background Many newly formed, subsidiary organizations of integrated delivery networks are now the nucleus for clinical integration

More information

The Changing Landscape of Healthcare and What it means to you!

The Changing Landscape of Healthcare and What it means to you! The Changing Landscape of Healthcare and What it means to you! Marc Leighton Imagination at work. How do hospitals/providers get paid? Introduction to Payment Mechanisms DRG- or APDRG-based mechanisms

More information

3M s unique solution for value-based health care

3M s unique solution for value-based health care A quick guide to 3M s unique solution for value-based health care Part 2: The era of and Current trends industry changes Volume-based health care Value-based health care ICD-9 ICD-10 Inpatient care Outpatient

More information

HITAM. Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis

HITAM. Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis Business Intelligence for Hospitals: Empowering Healthcare Providers to Make Informed Decisions through Centralized Data Analysis Healthcare providers today are impacted by an acute combination of rising

More information

Optum One Life Sciences

Optum One Life Sciences Optum One Life Sciences April 15, 2015 Creating a profound and lasting impact on the health system Lower the cost trend > $100 billion 22 hours per day > 50% > $80 billion Unnecessary costs due to improper

More information

PREDICTIVE ANALYTICS FOR THE HEALTHCARE INDUSTRY

PREDICTIVE ANALYTICS FOR THE HEALTHCARE INDUSTRY PREDICTIVE ANALYTICS FOR THE HEALTHCARE INDUSTRY By Andrew Pearson Qualex Asia Today, healthcare companies are drowning in data. According to IBM, most healthcare organizations have terabytes and terabytes

More information

MEDICAID DRGS GET READY, CUZ HERE THEY COME!

MEDICAID DRGS GET READY, CUZ HERE THEY COME! MEDICAID DRGS GET READY, CUZ HERE THEY COME! TODAY S PROGRAM All about Medicaid DRGs AHCA and HP implementation plan APR-DRGs details Panel discussion on hospital implementation BACKGROUND Required by

More information

Developing a Healthcare Analytics Strategy Across the Continuum of Care

Developing a Healthcare Analytics Strategy Across the Continuum of Care Developing a Healthcare Analytics Strategy July 2015 Healthcare Provider Analytics Investments Are Steadily Increasing Healthcare providers are still focusing their investment plans on more traditional

More information

Transformational Data-Driven Solutions for Healthcare

Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Today s healthcare providers face increasing pressure to improve operational performance while

More information

Embracing Accountable Care: 10 Key Steps

Embracing Accountable Care: 10 Key Steps Embracing Accountable Care: 10 Key Steps Sivakumar Nandiwada and Vijay Sylvestine Abstract For quite some time now, the U.S. healthcare market has been grappling with issues of spiraling costs and disparities

More information

S&I Framework: The Role of Standards in Supporting Healthcare Data Initiatives

S&I Framework: The Role of Standards in Supporting Healthcare Data Initiatives S&I Framework: The Role of Standards in Supporting Healthcare Data Initiatives Mera Choi S&I Framework Coordinator Office of the National Coordinator for Health IT 1 Agenda Drivers of Big Data Big Data

More information

Data Mining for Successful Healthcare Organizations

Data Mining for Successful Healthcare Organizations Data Mining for Successful Healthcare Organizations For successful healthcare organizations, it is important to empower the management and staff with data warehousing-based critical thinking and knowledge

More information

The Need to Embrace Profit Cycle Management in Healthcare

The Need to Embrace Profit Cycle Management in Healthcare GE Healthcare The Need to Embrace Profit Cycle Management in Healthcare Justin Steinman General Manager GE Healthcare IT Top 5 Takeaways 1. Healthcare leaders need to start analyzing and controlling costs

More information

Executive Brief: Beaufort Memorial Hospital

Executive Brief: Beaufort Memorial Hospital Executive Brief: Beaufort Memorial Hospital Beaufort Memorial Hospital Realizes $480,000 in Annualized Cost Savings with MEDHOST PatientFlow HD and Consulting Services You simply cannot strap new technology

More information

Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance

Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Matt Seefeld CEO & Co-Founder mseefeld@interpointpartners.com www.interpointpartners.com (404)446-0051

More information

Compunnel. Business Intelligence, Master Data Management & Compliance (Healthcare) Largest Health Insurance Company in New Jersey.

Compunnel. Business Intelligence, Master Data Management & Compliance (Healthcare) Largest Health Insurance Company in New Jersey. Compunnel Business Intelligence, Master Data Management & Compliance (Healthcare) Largest Health Insurance Company in New Jersey Business Intelligence, Master Data Management & Compliance (Healthcare)

More information

Big Data and Healthcare Payers WHITE PAPER

Big Data and Healthcare Payers WHITE PAPER Knowledgent White Paper Series Big Data and Healthcare Payers WHITE PAPER Summary With the implementation of the Affordable Care Act, the transition to a more member-centric relationship model, and other

More information

Operational Excellence, Data Driven Transformation Now Available at American Hospitals

Operational Excellence, Data Driven Transformation Now Available at American Hospitals Operational Excellence, Data Driven Transformation Now Available at American Hospitals It's Time to Get LEAN White Paper Operational Excellence, Data Driven Transformation Now Available at American Hospitals

More information

Empower Your organization with

Empower Your organization with Empower Your organization with Big Data Predictive Analytics Solutions AUTOMOBILES MACHINE DATA POINT SALE SOCIAL NET WORK RFID CUSTOMER BASED TEXT DATA SMART METER MOBILE DATA LOCATION BASED STRUCTURED

More information

Data Warehousing Dashboards & Data Mining. Empowering Extraordinary Patient Care

Data Warehousing Dashboards & Data Mining. Empowering Extraordinary Patient Care Data Warehousing Dashboards & Data Mining Empowering Extraordinary Patient Care Your phone has been automatically muted. Please use the Q&A panel to ask questions during the presentation. Introduction

More information

OVERVIEW The Pneuron Distributed Analytics Platform

OVERVIEW The Pneuron Distributed Analytics Platform 1 OVERVIEW The Pneuron Distributed Analytics Platform Table of Contents The Case for a New Healthcare Operating Model...3 Variable and Complex Ecosystem...3 Fragmented Systems and Processes...3 Reform

More information

Operationalizing Population Health

Operationalizing Population Health PATRICK GAUTHIER Advocates for Human Potential, Inc. Operationalizing Population Health Population-linked Service Systems Speaker Name Title Organization What is Population Health? Systematic effort to

More information

Technology and Analytics Roadmap Positioning for the Future

Technology and Analytics Roadmap Positioning for the Future Technology and Analytics Roadmap Positioning for the Future ASU Summer Institute July 15, 2015 Suzanne Rabideau, Rabideau Consulting Brian Jung, MSS Technologies www.msstech.com Introductions Background

More information

Copyright 2009 SAS Institute Inc. All rights reserved. Success With Business Analytics in the New Pharmaceutical Commercial Model.

Copyright 2009 SAS Institute Inc. All rights reserved. Success With Business Analytics in the New Pharmaceutical Commercial Model. Copyright 2009 SAS Institute Inc. All rights reserved. Success With Business Analytics in the New Pharmaceutical Commercial Model. Emerging Commercial Models: Rethinking Analytics Deloitte Consulting LLP

More information

Center for Healthcare Transparency

Center for Healthcare Transparency RFP Contents I. Project Description and Background II. Funding Available III. Proposal Requirements IV. Proposal Scoring V. Proposal Submission Process VI. Proposal Documents I. Project Description and

More information

CONNECTING DATA WITH BUSINESS

CONNECTING DATA WITH BUSINESS CONNECTING DATA WITH BUSINESS Big Data and Data Science consulting Business Value through Data Knowledge Synergic Partners is a specialized Big Data, Data Science and Data Engineering consultancy firm

More information

Helping You Achieve Better Clinical and Financial Health

Helping You Achieve Better Clinical and Financial Health McKesson Business Performance Services Accountable Care Services Helping You Achieve Better Clinical and Financial Health 1 We recognized that fee-for-service would decrease and value-based care would

More information

Strategic Consulting Services

Strategic Consulting Services www.usa.siemens.com/healthcare Strategic Consulting Services from Siemens Enterprise Services Connecting care by providing executable strategies to help providers achieve meaningful outcomes Answers for

More information

NAVIGATING ALTERNATIVE PAYMENT MODELS

NAVIGATING ALTERNATIVE PAYMENT MODELS NAVIGATING ALTERNATIVE PAYMENT MODELS 2016 Annual Meeting Kansas Grown: Strong, Healthy & Caring Overland Park, KS Learning Objectives Aledade will be presenting on how partnering with our company helps

More information

Solutions For. Information, Insights, and Analysis to Help Manage Business Challenges

Solutions For. Information, Insights, and Analysis to Help Manage Business Challenges Solutions For Health Plans Information, Insights, and Analysis to Help Manage Business Challenges Solutions for Health Plans Health plans are challenged with controlling medical costs, engaging members

More information

Clinical & Business Intelligence: An Analytics Executive Review

Clinical & Business Intelligence: An Analytics Executive Review Clinical & Business Intelligence: An Analytics Executive Review Industry Capabilities Available Tools, How & Where Applied February 2013 Introduction Healthcare analytics is the systematic use of data

More information

Partnership for Healthcare Payment Reform Total Knee Replacement Pilot Quality Report Quarter 1 Quarter 4, 2013

Partnership for Healthcare Payment Reform Total Knee Replacement Pilot Quality Report Quarter 1 Quarter 4, 2013 Partnership for Healthcare Payment Reform Total Knee Replacement Pilot Quality Report Quarter 1 Quarter 4, 2013 Introduction This report outlines the total knee replacement pilot quality results for care

More information

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing

More information

Enterprise Analytics Strategic Planning

Enterprise Analytics Strategic Planning Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management

More information

Big Data for the Small Practice Connectivity, Management and Exchange. OSMA Education Symposium April 1, 2016

Big Data for the Small Practice Connectivity, Management and Exchange. OSMA Education Symposium April 1, 2016 Big Data for the Small Practice Connectivity, Management and Exchange OSMA Education Symposium April 1, 2016 1 Big Data >> Describes the large volume of data both structured and unstructured that inundates

More information

A New Payer Model For Medical Management Execution

A New Payer Model For Medical Management Execution A New Payer Model For Medical Management Execution To combat rising costs and inefficient use of resources, payers can streamline utilization management and optimize care management through medical management

More information

Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid

Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid Advocate Health Care $5 Billion Annual Revenue AA Rated 12 Acute Care Hospitals 1 Children s Hospital 5 Level 1 Trauma Centers

More information

Singapore. Challenges in the Market

Singapore. Challenges in the Market Singapore Type of Market: Moderate/Growing Singapore represents a significant market opportunity for U.S. Health IT companies. Singapore signed a contract with a consortium (including two U.S. companies)

More information

Predictive Analytics

Predictive Analytics Predictive Analytics How many of you used predictive today? 2015 SAP SE. All rights reserved. 2 2015 SAP SE. All rights reserved. 3 How can you apply predictive to your business? Predictive Analytics is

More information

WHITE PAPER. Payment Integrity Trends: What s A Code Worth. A White Paper by Equian

WHITE PAPER. Payment Integrity Trends: What s A Code Worth. A White Paper by Equian WHITE PAPER Payment Integrity Trends: What s A Code Worth A White Paper by Equian June 2014 To install or not install a pre-payment code edit, that is the question. Not all standard coding rules and edits

More information

The Evolving Comparative Analytics Market:

The Evolving Comparative Analytics Market: The Evolving Comparative Analytics Market: Benchmarking Key Business Metrics Against Peers to Reduce Risk, Pinpoint Areas for Improvement, and Optimize Performance March 2013 UNDERSTANDING THE OPPORTUNITY

More information

Profit from Big Data flow. Hospital Revenue Leakage: Minimizing missing charges in hospital systems

Profit from Big Data flow. Hospital Revenue Leakage: Minimizing missing charges in hospital systems Profit from Big Data flow Hospital Revenue Leakage: Minimizing missing charges in hospital systems Hospital Revenue Leakage White Paper 2 Tapping the hidden assets in hospitals data Missed charges on patient

More information

Patient Relationship Management

Patient Relationship Management Solution in Detail Healthcare Executive Summary Contact Us Patient Relationship Management 2013 2014 SAP AG or an SAP affiliate company. Attract and Delight the Empowered Patient Engaged Consumers Information

More information

Analytics for ACOs Integrated patient views

Analytics for ACOs Integrated patient views Analytics for ACOs Integrated patient views What s at stake? Level-setting Overview The healthcare environment is changing and healthcare organizations have challenging decisions to make. With the dramatic

More information

Big Data for Investment Research Management

Big Data for Investment Research Management IDT Partners www.idtpartners.com Big Data for Investment Research Management Discover how IDT Partners helps Financial Services, Market Research, and Investment Management firms turn big data into actionable

More information

Enterprise Healthcare BI

Enterprise Healthcare BI Enterprise Healthcare BI Fresenius Medical Care North America The comments in this presentation are the personal thoughts of the presenter, and not those expressed by FMCNA, its directors or shareholders.

More information

Truven Health Analytics: Market Expert Inpatient Volume Projection Methodology

Truven Health Analytics: Market Expert Inpatient Volume Projection Methodology Truven Health Analytics: Market Expert Inpatient Volume Projection Methodology Truven s inpatient volume forecaster produces five and ten year volume projections by DRG and zip code. Truven uses two primary

More information

Making critical connections: predictive analytics in government

Making critical connections: predictive analytics in government Making critical connections: predictive analytics in government Improve strategic and tactical decision-making Highlights: Support data-driven decisions using IBM SPSS Modeler Reduce fraud, waste and abuse

More information

Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement

Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement Bruce Eckert, National Practice Director, Advisory Group Ramesh Sakiri, Executive Consultant, Healthcare

More information

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment RESEARCH BRIEF A Roadmap for Population Health: Best Practices for Achieving Operational Alignment Larry Yuhasz February 2014 Reform under the Patient Protection and Affordable Care Act (PPACA) demands

More information

IBM Next Generation Analytics Platform, fattore abilitante strategico per la trasformazione del business

IBM Next Generation Analytics Platform, fattore abilitante strategico per la trasformazione del business IBM Next Generation Analytics Platform, fattore abilitante strategico per la trasformazione del business Bruno Marcantonio Information Management Leader Software Group IBM Italia November 7, 2013 2013

More information

The Promise of Regional Data Aggregation

The Promise of Regional Data Aggregation The Promise of Regional Data Aggregation Lessons Learned by the Robert Wood Johnson Foundation s National Program Office for Aligning Forces for Quality 1 Background Measuring and reporting the quality

More information

An Enterprise Framework for Business Intelligence

An Enterprise Framework for Business Intelligence An Enterprise Framework for Business Intelligence Colin White BI Research May 2009 Sponsored by Oracle Corporation TABLE OF CONTENTS AN ENTERPRISE FRAMEWORK FOR BUSINESS INTELLIGENCE 1 THE BI PROCESSING

More information

AGENDA WHAT IS COMPUTER-ASSISTED CODING, REALLY? J03.0 F43.0 I10 A78 R52

AGENDA WHAT IS COMPUTER-ASSISTED CODING, REALLY? J03.0 F43.0 I10 A78 R52 R06.2 F43.0 I10 06BY3ZC J03.0 A78 03HK0MZ R52 0SG1430 COMPUTER-ASSISTED CODING AGENDA Evaluating and Understanding the Technology Review of Lessons Learned from Early Adopters Workflow and Analytics with

More information

www.ducenit.com Analance Data Integration Technical Whitepaper

www.ducenit.com Analance Data Integration Technical Whitepaper Analance Data Integration Technical Whitepaper Executive Summary Business Intelligence is a thriving discipline in the marvelous era of computing in which we live. It s the process of analyzing and exploring

More information

ICD-10 and Computer-Assisted Coding: Using the 2013 Mandate as an Opportunity for Business Process Enhancements and Cost Savings Today

ICD-10 and Computer-Assisted Coding: Using the 2013 Mandate as an Opportunity for Business Process Enhancements and Cost Savings Today M*Modal White Paper ICD-10 and Computer-Assisted Coding: Using the 2013 Mandate as an Opportunity for Business Process Enhancements and Cost Savings Today M*Modal delivers innovative solutions that capture

More information

Predicting What Matters Using Predictive Analytics to Reduce Suffering, Save Lives, and Optimize the Cost of Care

Predicting What Matters Using Predictive Analytics to Reduce Suffering, Save Lives, and Optimize the Cost of Care Predicting What Matters Using Predictive Analytics to Reduce Suffering, Save Lives, and Optimize the Cost of Care Predictive Analytics for Population Health Management NCHICA Learning Objectives By the

More information

Use and Value of Data Analytics. Comparative Effectiveness Study Inpatient Rehab Hospital (IRH) vs. Skilled Nursing Facility (SNF)

Use and Value of Data Analytics. Comparative Effectiveness Study Inpatient Rehab Hospital (IRH) vs. Skilled Nursing Facility (SNF) Use and Value of Data Analytics Comparative Effectiveness Study Inpatient Rehab Hospital (IRH) vs. Skilled Nursing Facility (SNF) Ryan Wilson Vice President of Managed Care HealthSouth Corporation Gerry

More information

WINNING ON STARS IT STARTS AND ENDS WITH PROVIDERS

WINNING ON STARS IT STARTS AND ENDS WITH PROVIDERS Health and Life Sciences POINT OF VIEW OCTOBER 2015 WINNING ON STARS IT STARTS AND ENDS WITH PROVIDERS AUTHORS Timothy Abbot Associate Melinda Durr Principal Martin Graf Partner Reimbursement cuts and

More information

Overarching Goals. Short-term Action Steps (2 4 weeks after the Accelerated Development Learning Session)

Overarching Goals. Short-term Action Steps (2 4 weeks after the Accelerated Development Learning Session) Implementation Planning Guide 3 Overarching Goals Use this worksheet to document your ACO's overarching goals related to the three-part aims: Improve quality of care for individuals; improve health of

More information

Population Health Solutions for Employers MEDIA RESOURCES

Population Health Solutions for Employers MEDIA RESOURCES Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint

More information

Insights and Best Practices for Clinical Documentation Improvement Programs

Insights and Best Practices for Clinical Documentation Improvement Programs Insights and Best Practices for Clinical Documentation Improvement Programs In the face of alarming predictions about ICD-10 s administrative impact and its veritable explosion of new codes to wrangle

More information

in LOVE with LIFE CaroMont Health s Path to Accountable Care: A Pathway to Health

in LOVE with LIFE CaroMont Health s Path to Accountable Care: A Pathway to Health CaroMont Health s Path to Accountable Care: A Pathway to Health Betty Herbert, Director Managed Care May 17, 2011 CaroMont Health System Gaston Memorial Hospital, with 435 beds Courtland Terrace, a 96-bed

More information

The Evolving Comparative Analytics Market:

The Evolving Comparative Analytics Market: The Evolving Comparative Analytics Market: Benchmarking Key Business Metrics Against Peers to Reduce Risk, Pinpoint Areas for Improvement, and Optimize Performance March 2013 UNDERSTANDING THE OPPORTUNITY

More information

INSERT COMPANY LOGO HERE. Product Leadership Award

INSERT COMPANY LOGO HERE. Product Leadership Award 2013 2014 INSERT COMPANY LOGO HERE 2014 2013 North North American Health SSL Certificate Data Analytics Product Leadership Award Background and Company Performance Industry Challenges Numerous social,

More information

IoT Analytics: Four Key Essentials and Four Target Industries

IoT Analytics: Four Key Essentials and Four Target Industries IoT Analytics: Four Key Essentials and Four Target Industries 1 Introduction Analysts and IT personnel across all industries seek technology to better engage and manage data generated by the Internet of

More information

Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development

Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development December 6, 2012 Health care spending to Reach 20% of U.S. Economy by 2020

More information

Integrating a Big Data Platform into Government:

Integrating a Big Data Platform into Government: Integrating a Big Data Platform into Government: Drive Better Decisions for Policy and Program Outcomes John Haddad, Senior Director Product Marketing, Informatica Digital Government Institute s Government

More information

Measuring Health System Performance: Population Health Analytics for Accountable Care. Part 1

Measuring Health System Performance: Population Health Analytics for Accountable Care. Part 1 Measuring Health System Performance: Population Health Analytics for Accountable Care Part 1 1 Measuring Health System Performance: Population Health Analytics for Accountable Care Powerful health system

More information

SCALABLE SYSTEMS LIFE SCIENCE & HEALTHCARE PRACTICES

SCALABLE SYSTEMS LIFE SCIENCE & HEALTHCARE PRACTICES SCALABLE SYSTEMS LIFE SCIENCE & HEALTHCARE PRACTICES Improve Your DNA Data, Numbers & Analytics IntelliPayer Scalable Systems IntelliPayer solution is a next generation healthcare payer solution framework

More information

Lowering Costs and Improving Outcomes. Patient Engagement Issues. Nancy Davenport-Ennis President & CEO. September 8 th, 2009

Lowering Costs and Improving Outcomes. Patient Engagement Issues. Nancy Davenport-Ennis President & CEO. September 8 th, 2009 The Healthcare Imperative: Lowering Costs and Improving Outcomes Patient Engagement Issues Nancy Davenport-Ennis President & CEO National Patient Advocate Foundation September 8 th, 2009 Institute of Medicine

More information

CMS Innovation Center Improving Care for Complex Patients

CMS Innovation Center Improving Care for Complex Patients CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for

More information

Mercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care

Mercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care 2015 SAP SE or an SAP affiliate company. All rights reserved. Mercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care To become a best-in-class Accountable Care Organization, Mercy

More information

www.sryas.com Analance Data Integration Technical Whitepaper

www.sryas.com Analance Data Integration Technical Whitepaper Analance Data Integration Technical Whitepaper Executive Summary Business Intelligence is a thriving discipline in the marvelous era of computing in which we live. It s the process of analyzing and exploring

More information

hmetrix Revolutionizing Healthcare Analytics with Vertica & Tableau

hmetrix Revolutionizing Healthcare Analytics with Vertica & Tableau Powered by Vertica Solution Series in conjunction with: hmetrix Revolutionizing Healthcare Analytics with Vertica & Tableau The cost of healthcare in the US continues to escalate. Consumers, employers,

More information