Leverage tested and validated data science applications to start answering critical questions
With the speed and complexity of change in the healthcare ecosystem, it is crucial that health plans and providers seek flexibility and specificity with their analytic applications. Purpose-built, deep learning applications enable health plans to not only solve targeted challenges today, but will continue to deliver requisite, actionable insight well into the future.
Machine Learning is ideal for discovering patterns in your claims data which indicate something fraudulent or wasteful is occuring.
Understanding the healthcare customers experience is critical to providing good and complete care while controlling costs.
Pharmacy events are a primary predictor for future health events and costs. Proper integration of medical and pharmacy data is critical to the success of healthcare prediction.
Quality programs such as Medicare Advantage Five Star, Exchange QRS and provider focused MIPS programs are increasingly determining reimbursement rates for health plans and providers.
Having high quality encounter data is critical to the health of the health plan and members