There is a strategic market shift and changing landscape around analytics in healthcare. U.S. healthcare reform mandates under Medicare and the meaningful-use requirements under the HITECH Act are forcing patient care organizations to rethink what types of analytical work are done, and how they’re done in the new world of ICD-10.
The major goal of ICD-10 conversion is not just compliance; the payers and provider must provide greater attention to drive lower cost and higher quality of care through enterprise intelligence.
To achieve this objective, healthcare payers and providers must implement analytic programs built on new, rich ICD-10 clinical content that fosters pervasive use of business intelligence tools across an organization and enables breaking down current operational-driven data silos.
We work with payers and providers to leverage their ICD-10 implementation, together with our business intelligence/analytics tools and consulting services, as a springboard for achieving outcomes that improve our client’s business and drive lower cost and higher-quality patient care.
Examples of the outcomes achievable through our services:
- Payer: Understand where to restrict benefits and where to pay for preventative care that will lead to lower costs over time
- Provider: Enable hospitals to assess the risk of their patient population
The diagram below illustrates our service delivery model within the context of a healthcare payer’s situation.