infosyspublicservices - healthcare analytics solution
DESCRIPTION
Healthcare Analytics is a comprehensive suite of ready-to-deploy analytical & portal solutions and frameworks help payers for cost containment and business efficiency improvement.TRANSCRIPT
Healthcare
Infosys Healthcare Analytics SolutionActionable insights to engage consumers improve health and quality of care and reduce costs
With exponential growth in the amount of information, the need for enterprises to manage information and make it actionable is growing as well. Healthcare payers need to make evidence based critical business decisions in terms of patient care, cost containment, operational efficiency improvement and customer satisfaction. Business intelligence and related information management are expected to be top IT investment for healthcare organizations.
Solution OverviewInfosys Healthcare Analytics solution provides next generation analytics capabilities by incorporating predictive analysis, real-time data integration across disparate data sources, data correlation as well as dynamic and flexible reporting to offer integrated information management. The solution is a suite of ready-to-deploy analytical solutions and frameworks to help payers and/or plan sponsors take proactive measures for cost containment and operational efficiency improvement.
Member Liability Estimator (MLE)
• Framework compliant with the ICD9 and ICD10 coding standards to determine member liability at real-time prior to the service being rendered enabling quicker payment collections for providers and reimbursements from payers.
• Hybrid approach combining a statistical model and a rules engine to derive the member liability estimates in less time than the real-time adjudication approach
• Intelligent questionnaire to assess a member’s underlying medical conditions that might affect the estimate there-by providing a personalized and accurate estimate
Member Switchover Analysis
• Comprehensive statistical and predictive modelling based solution framework for identifying potential switchover candidates and analyse their details
• Other features include member risk profiling, root cause analysis on past switchover data resulting in switchover card generation, member profitability and lifetime value analysis for focused retention strategies
Provider Network Performance Management (PNPM)• One stop analytical platform to measure and track performance of the network operations and the providers using customizable,
interactive and actionable dashboards.• Measures performance across different categories such as health plans, P4P, contracts, credentialing etc, through correlation with the
benchmarks along with efficiency improvement strategies identification• The framework is a strong harmonization of analytical IT and business process services for continuous performance improvement
with respect to quality as well as operations
Value Based Benefit Design ProgramEnd-to-end solution approach for analytics around chronic disease data of members and their treatment compliance patterns; recommending effective plan or benefit changes for attaining increased compliance and reduced cost
Care Management Analytics SolutionA comprehensive solution that supports proactive identification of members with conditions (like pre-diabetes and heart conditions) that have the potential to turn chronic; development and performance of patient-centric campaigns; initiatives that aim to bring treatment in line with health outcomes; and identification of alternate levels and places of care
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For more information, contact [email protected] www.infosyspublicservices.com
About Infosys Public Services
Infosys Public Services is a U.S. based subsidiary of Infosys (NASDAQ: INFY), a global business consulting & technology services company.
Infosys Public Services helps Healthcare & Public sector clients to transform, innovate and optimize their organizations to build tomorrow’s enterprise. We blend 30 years of commercial best practices with innovative industry solutions, best-of-breed partner content and proven execution to deliver measurable business value with predictability.
© 2012 Infosys Public Services, Plano, Texas, USA. Infosys Public Services believes the information in this publication is accurate as of its publication date; such information is subject to change without notice. Infosys Public Services acknowledges the proprietary rights of the trademarks and product names of other companies mentioned in this document.
Service O�erings
Infosys Healthcare AnalyticsSolution O�erings
Consulting Con�guration & DevelopmentServices
Knowledge ProcessOutsourcing
Steady Support
• Interface development and solution integration
• Analytics setup• Solution implementation and
roll out
• Technical consulting for BI Analytics / Algorithm designing
• Model creation and implementation
• Reports / Dashboard creation
• Help Desk (Level 1,2,3)• Data Management• Infrastructure Hosting• SaaS Model• User Training
• Consulting for BI implementation Services
• Assessment and roadmap de�nation
• Reports and algorith design• Customization
Solution Toolkit• Ready to deploy solutions and products for ICD 9 - ICD 10 Conversion• Out of the box statistical models that are ready to deploy• Pre-built reports and dashboards that can be customized to clients needs
Accelerated Time-to-Market:Reusable components such
as predefined list of KPIs for provider performance management complying with healthcare standards (HEDIS, CAHPS), statistical model approach, data model, adapters to pull data from widely used health plan information systems accelerate total build time.
Value PropositionImproved Decision Making Support:
Best-in-class analytical capabilities through comprehensive reports and statistical models combined with real-time data aggregation, intuitive dash boarding capabilities and customization support.
End-to-End Impact: Covers the entire span of
analytics from real time data aggregation, role based dashboard that provide proactive real time alerts, simulation, what-if analysis and predictive analytics
Deep Healthcare Analytics Expertise: Trained
healthcare professionals with hands-on experience in payer and provider environments supported by large number of data mining and statistical modelling consultants.
Lower Total Cost of Ownership: Can be implemented
and integrated with customers’ existing reporting and modelling tools & technology with minor customization. Reduces the need to maintain business analytics support team for extended time periods
Member LiabilityEstimator
Member SwitchoverAnalysis
Provider NetworkPerformanceManagement
Value BasedBene�t Design
CareManagement
AnalyticsServices
Pay for performance, access to care, member wellness care, campaign development and performance Reporting Predictive Modeling Pattern Matching
IntegrationServices
Analytics modules interlinked with healthcare frameworks,integration of modules for wellness, patient-centricityand a�ordability
Work�owManagement Intake ETL Data
Cleansing Adapters
Claims Bene�ts MemberNetworkClinical
(Provider)Campaign
performance