claim-spending-analytics-solution

Claim Spending Analytics Solution

The client is a leading health informatics company focused on improving the quality and value of healthcare and other employee benefits. The client wanted a sophisticated and flexible system with a Business Intelligence dashboard and reporting solution that enables access to real-time actionable information on spends and performance.

 

How we have helped our customer:

  • Custom ETL tool developed using and .NET and SQL stored procedures to support multiple data sources
  • Integrated claims data on inpatient and outpatient basis.
  • Developed intuitive UI to define benefit plans, using a complex Excel based template model to create benefit design models
  • Developed algorithms using SAS tool and implemented predictive risk modeling for major diseases including Diabetes, Ischemic Heart Disease, CHF & Cardiomyopathy, Coronary Artery Disease, Osteoarthritis and Hyperlipidemia.

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