Today’s healthcare organizations face significant challenges to maximize the value they provide. They need to improve the quality of clinical, financial, and patient experience outcomes while reducing the cost of care and administrative expense – all within an environment of complex regulation and reform.
The most successful healthcare organizations will be the ones that can manage the massive volumes of real-time information and events to identify potential problems faster and intervene proactively to influence outcomes, rather than analyzing them after they occur.
Health Plans can increase market share, optimize the payment lifecycle, improve operational efficiency, ensure compliance, improve population health, and enable the transition to coordinated accountable care.
Providers can improve outcomes, reduce the cost of care, eliminate waste, ensure compliance, empower secure real-time patient-centered collaboration.
Financial Performance Management
Gain greater visibility into the full scope of your financial operations including detailed analysis of cost and revenues, view data underlying cash flow statements and compare planned versus actual income and margin. Analyze current care practice patterns, identify unnecessary or underutilized services and create reports to meet mandated reporting.
Patient Care Intelligence
Analyze patient data for clinical patterns and treatment protocols, share more information with patients; connect patients across hospital, physician office, physical therapy, nursing homes and community social support settings; monitor and better forecast patient diagnoses and use of services to improve patient care, reduce wait times and administer more effective treatments.
Billing and Claims Intelligence
Generate clinical and service line reporting, analyze and monitor claims to determine risk areas and create effective rate structures; improve claims response time, and prevent fraudulent claims processing; increase predictability of claims-payment flows, identify loss potentials and analyze risk across the health care network.
Review and analyze the success of marketing efforts for clinical effectiveness of products and services, track marketing costs against budget; calculate ROI for marketing efforts and compare against performance goals. Monitor products and services that are profitable in specific patient segments; measure marketing and communication efforts on brand perception and performance.