Healthcare Analytics

Helping deliver the best possible care

How can we help you?

We can help you:
  • Assess the effectiveness of your current plan design and recommend changes based on the outcome
  • Evaluate the ROI of various wellness and health programs
  • Drive your health programs leveraging insights from cutting-edge technologies such as process mining, machine learning and artificial intelligence. Examples of such analysis include:
    • Mapping the clinical journeys of members
    • Identifying and coordinating care for members suffering from chronic conditions
    • Predicting the next disease / diagnosis conditions that members may suffer from
    • Assessing the adherence to prescription drugs and medical treatments by members
We can help you:
  • Assess and improve operations effectiveness of business areas such as underwriting, claims processing, etc.
  • Reduce fraud, waste, and abuse (FW&A)
  • Evaluate and improve the effectiveness of customer engagement and experience throughout customer lifecycle: from onboarding to claims to renewals
We can help you:
  • Improve quality of care and achieve better patient outcomes using insights from advanced machine learning and AI algorithms
  • Reduce cost of operations through effective utilization of the existing infrastructure and resources
  • Set, track and evaluate physicians' goals and performance

Our Approach

Our deep understanding of the healthcare domain, creative problem-solving approach, and ability to connect data across disparate sources allow us to deliver targeted analytical solutions that drive actions for better outcomes.

  • “X-Ray” the Operations: we do a thorough current state assessment to build transparent views of the process such as patient journey, areas of concentration of FW&A, etc. and segment population by key areas of interest such as place of service, diagnosis conditions, provider type and others
  • Discover Opportunities: using the outcome of the “X-Ray”, we identify key challenges and areas with high potential impact to drive further action
  • Improve Outcomes: for the identified areas, we then design and recommend appropriate plan design changes, build and deploy advanced analytical models, and put in place mechanisms for ongoing performance monitoring
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it. Cookie Policy OK