Payers

There is increasing pressure on Payer organizations to make healthcare more affordable, retain existing members, acquire new members, as well as enhance services and increase quality of patient care. In such an environment, success depends on capturing, integrating, analyzing, and acting on information at the right time. We have a proven track record in delivering measurable results for our clients in Payer organizations by solving your complex information challenges in an increasingly customer-centric environment.

Working with Payer and Third Party Administrator organizations we’ve proven that we have a solid understanding of your issues and can turn around innovative BI and IM solutions quickly to improve your business performance. What's needed most is a partner that understands your comple challenges and will help you develop an intelligence platform that crosses the enterprise by leveraging your data assets. Our clients benefit from our key capabilities in data integration, which is the most challenging issue in providing better healthcare and increasing business performance.

We can help you develop and deploy a reliable, accurate, scalable, and integrated analytics platform leveraging ‘silos of intelligences’ from data related to Employer groups, Membership, Product, Facility, Provider networks, outcomes and claims, Actuarial, Underwriting, Human resources, and Marketing and Sales. An integrated platform enables your organization to manage complex business issues such as cost containment, enhancing services, litigation, regulatory compliance, benefit mandates, medical fraud, and sales and marketing performance.

We offer business intelligence, analytics, predictive analytics, performance management, and information management solutions to improve operational efficiency and business performance in the following areas:

• 360 degree Member view
• Actuarial
• Claims Processing and Adjudication
• Call centers and Customer satisfaction
• Channel Management Analysis - Agents & Brokers
• Early fraud detection and prevention
• Medical Management - healthcare informatics
• Disease Management & Predictive modeling
• Provider Analysis and Management
• Pharmacy Benefit Management Services
• Underwriting profitability and Inventory management
• Utilization review and Quality Management