HIA DATA WAREHOUSE IDENTIFIES OVER $28 MILLION IN OVERPAID CLAIMS
Reform and change within the healthcare market have forced payers to develop more consumer-focused business models – but a company’s legacy data warehouse environment isn’t always capable of supporting a move into this direction.
Examine the case study of how one payer implemented our solution for tracking medical cost trends and providing pay-for-performance reporting. Going beyond their existing claims-processing capabilities, Health Intelligence Analytics (HIA) identified ways to save the company millions.
New insights for your business.
The Health Intelligence Analytics (HIA) Accountable Care Analytics solution identifies and calculates cost savings while focusing on patient centric care.The ACO product offers an extremely cost effective and easy to use solution that automates data integration and offers prebuilt, self service and customizable analytics specifically designed to help monitor, track and improve ACO measures.
- Opt In / Opt Out Beneficiary Preference Application
- Consumer Experience
- Peer to Peer Comparison
- Pay for Performance Analytics
- Gaps in Care
- SNF Analytics
HIA Medical Cost Management brings actionable analytics to your organization in record time through the pre-built customizable data warehouse model, ETL work flows and Healthcare Analytics. The Medical Cost Management product comes with out of the box analytics for:
- PMPM Analysis
- Group Renewals
- Medical Population Management
Don’t want to host and maintain your data warehouse and analytics? We offer any of our HIA products listed above as a 100% web based Software as a Service (SaaS) called HIA OnPoint. HIA OnPoint offers a reliable, rapid way to start taking advantage of the insights gained through our HIA suite of products without the hassle and slow down of creating and maintaining an EDW project on premise.
HIA℠ Simple10℠ is all of your ICD-9 to ICD-10 tasks made simple. Simple10 eliminates conversion concerns through the pre-built crosswalk, customizable application and prebuilt analytics and dashboards. Simple10 analytics provide the assurance needed to continue:
- Historical Trend Analytics
- Provider Spend Comparisons
- Year over Year High Cost Claims Analysis
- Risk Assessments
- Contract Negotiations
- Fraud Indicators and Alerts
The HIA℠ All Payer Claims Database (APCD) is a pre-built data model, data intake facility and analytics that saves time, money and increases the success of the project by following an industry best methodology. The HIA APCD is architected for multi tenants and focuses on consumer experience, benchmarking and price transparency.