Enterprise Analytics Platform

Leading Healthcare Payer

Business problem

  • Disagreement about business performance results due to reporting discrepancies
  • Weeks, sometimes month-long wait times for targeted analysis and custom reporting requests
  • All reporting done by looking at the “rear view mirror” with zero predictive capabilities
  • Manual, time-consuming and error prone monthly KPI reports
  • No measurable business value driven through analytics solutions

The solution

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Benefits

  • Automated KPI dashboards and drilldown reports for management
  • Business users can access trusted, validated data on their own without IT
  • Self-service analytical platform for business analysis, reducing $3m~ in FTE spend
  • Analytics solutions enabling $100m~ in savings opportunity 
    • Readmissions prediction model
    • High-cost/risk patient identification for clinical intervention
    • SNF over-utilization
    • Overpayment & Abuse detection
^$100m~
Savings opportunity
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