Intelligent Information Analytics
Gain visibility into your healthcare claims cost containment initiatives with Intelligent Information Analytics from Discovery Health Partners. By identifying new opportunities and generating insights that drive decision making, you become empowered to control costs and understand the performance of your program.
Discovery Health Partners draws on two decades of experience to tailor solutions in key areas. We also tap the consulting experience of our sister company, Ajilitee, to create custom solutions for your information analytic needs.
Our Intelligent Cost Containment Platform contains a robust Identification Engine that can be applied to a variety of cost containment initiatives, including subrogation, coordination of benefits, dependent eligibility, provider bill audits, and overpayments. The Identification Engine employs proprietary data mining techniques and analyzes multiple factors to identify and classify claims. These include analyzing diagnosis and e-code groups and creating episodes of care for relevant conditions, considering customer-specific business rules, and flagging sensitive conditions and patient populations.
The Discovery Dashboard is part of our Intelligent Cost Containment Platform, providing reporting against operations as well as a host of analytical features to support ad-hoc reporting and on-demand analysis. User-friendly and customizable, the Discovery Dashboard provides the insight the business needs to understand performance of programs.
Are you doing better or worse than last year when it comes to cost management? Are you realizing the results you expected from initiatives? Are there hidden insights in your claims data that could help you understand experience? Discovery Health Partners helps you answer these and other questions in our Performance Management service. Together we define the metrics that are important to your business as well as define how to capture and measure them.
When you want to understand how your plan is performing relative to peers, we conduct a custom benchmarking survey that analyzes your results proportionate to peer companies in our database. We advise you on modifications that can improve results and help you contain claim cost.
Custom Information Analytics
Sometimes needs cannot be met with off-the-shelf solutions. When it comes to information analytics for healthcare cost containment, Discovery Health Partners draws upon a rich heritage as expert information consultants to tailor solutions for individual client needs. We also draw upon the resources of our consulting division, Ajilitee, specialists in information analytics.