Spearheads in Health Data Analytics
- Data Sciences team operated by experienced actuaries, dedicated to develop standard and ad-hoc reports.
- Extensive data covering all components of the healthcare benefits management cycle, structured and coded based on international standards and guidelines.
- Advanced platform equipped with various business intelligence tools.
A. Portfolio Performance Monitoring (Deep Dive)
Monitor the performance of portfolios and make data-informed decisions
- Monitor up-to-date portfolios with predefined dashboards and analysis reports with “click-through” functionality.
- Conduct root-cause analysis by slicing and dicing the raw data.
- Run complex queries easily and quickly using associative query logic.
- Other regulated mandated reports.
B. Drug Utilization Review (DUR)
Contain the cost of drug claims, improve patient’s safety and health outcomes
- See the whole picture of drugs’ cost and utilization habits with drill down capabilities into specific claims, providers, etc.
- Analyze prescription claims for trends and patterns of fraud, abuse, over and under-utilization, etc.
- Gain meaningful insights and actionable information to improve financial performance, promote optimal drug therapy for members, and improve drug utilization.
