BI Solutions : SAS® for Disease Management

Business Intelligence BI Software : SAS® for Disease Management

Managed healthcare providers, health insurers and other organizations that pay for healthcare are constantly seeking ways to reduce the burden of healthcare costs. Because the majority of all healthcare costs – a staggering 70 percent – is attributable to patients with chronic illnesses, the best way to decrease these costs (and patient suffering) is to identify those patients who have or are likely to develop a chronic illness, and to take measures to stave off the onset of associated complications.

But how do you identify which patients are at risk? How do you know which interventions make the most medical and financial sense? Will the demand for medical resources match your supply? The answers to these critical questions and more can be found using SAS for Disease Management.

SAS for Disease Management delivers accurate, timely information that enables you to predict risk and optimize interventions, so you can achieve improved outcomes. By leveraging award-winning data warehousing and data mining software for predictive modeling, SAS for Disease Management goes beyond traditional disease management solutions to offer:

• A single view of the patient or member.
• Advanced analytics for predicting risk.
• Optimization of interventions.
• Improved clinical outcomes.

SAS for Disease Management supports the four-step disease management process:

Data Acquisition and Management
Medical and pharmaceutical claims are the core information source for most disease management activities. However, claims records are designed to facilitate billing – not to provide a complete representation of population health characteristics. The SAS solution supplements claims data with data on membership and provider eligibility, pharmaceutical records, in-patient and out-patient billing, dental and vision billing, lab results and medical assessment questionnaires. The result is a more complete picture based on a variety of data sources.

Identification and Severity Classification
The SAS solution uses a variety of methods for identifying patients and assigning a severity classification, including:

• Pre-designated lists (as determined by medical evaluations and diagnoses or hospital discharge data).
• Rules-based algorithms based on diagnosis or procedure codes, pharmacy scripts, lab results and medical assessment questionnaires.
• Advanced analytical methods, such as data mining.

Intervention
The SAS solution supplements the critical business activities associated with the intervention stage by:

• Optimizing the intervention method by using data mining techniques to increase the likelihood of first contact and predict which intervention method may be the most effective.
• Employing advanced reporting capabilities, such as scorecards and Web-based reporting, to facilitate the intervention process.

Outcome Management
The SAS solution supports both utilization and expenditure reporting to track the progress and effect of the disease intervention.

Source: For more information business intelligence BI software, SAS BI solutions, disease management, health insurance, visit sas.com

SAS BI Solutions - Health insurers

Business Intelligence BI Software : SAS BI Solution for Health Insurance

Health insurers are under increased pressure to improve the way they do business. But inefficient business processes, lengthy claims processing and outdated information management strategies are proving to be formidable roadblocks to demonstrating value to those who purchase healthcare benefits. To overcome the roadblocks, health insurers must shift from a reactive to a proactive stance by predicting – and responding to – challenges before they occur.

Such predictive power is available to you from SAS. Our solutions provide a gateway to business intelligence, enabling you to gather data from your existing transactional foundation systems and transform it into critical business knowledge.

SAS solutions for health insurance are comprehensive, offering everything you need to make solid business decisions, align actions with business strategy, improve your operational efficiency and, ultimately, increase your bottom line results:

Customer Intelligence
Identify your most profitable members and employer groups, determine which agents bring in the most members and predict which members will leave your health plan.

Customer Relationship Management. With SAS Customer Relationship Management solutions, you can conduct more effective customer interactions, increase awareness, improve targeted marketing and enhance customer services.
Operational Intelligence
Achieve sustainable operational improvements so you can price services optimally, enable new business strategies, reduce operating costs, improve performance, track progress toward achieving organizational goals and meet service level commitments. With SAS Operational Intelligence solutions for health insurance, you can improve your IT infrastructure management and enhance operational efficiencies.

Health Plan Reporting. Empower your customers with self-service reporting functions that let them answer their own questions about health benefits costs and plan utilization. SAS for Health Plan Reporting relieves your reporting burden by giving employer groups direct access to the information they need in an on-line, self-service format.

Health Plan Intelligence
Make sense of your complex challenges by analyzing and uncovering cost and funding balances; understand the factors that affect premium costs and program rates; align book-of-business and line-of-business profitability; and predict activities related to fraud before they occur. With SAS' powerful analytic capabilities, your organization is better equipped to meet its goals for reducing costs and raising profitability and return on investment.

Health Insurance Fraud. Reduce claims costs and losses due to fraud by making predictive, accurate claims decisions before claims are paid. SAS for Health Insurance Fraud goes beyond traditional rules-based fraud detection solutions to offer advanced analytics and easy integration with your claims payment processes for improved recovery and prosecution efforts.

Health Informatics Intelligence
Effectively manage clinical risk by uncovering early indicators for illness, anticipate future utilization of clinical services, improve reimbursements for contract negotiations, and analyze clinical outcomes and medical expenses to reward provider performance. SAS solutions for health informatics intelligence supply the tools you need to proactively understand which factors are most important for reducing risk and predicting future areas of improvement.
Disease Management. Effectively manage clinical risk and gain control of high-cost diseases by uncovering early indicators for illness. With SAS for Disease Management, you can predict risk and optimize interventions in order to achieve improved outcomes.

Beyond BI™
For health insurers, traditional business intelligence is not enough to meet today's market demands. SAS takes health insurers Beyond BI™, providing you with forecasting, predictive modeling and optimization capabilities so you can evolve from simple historical benchmarking to truly predicting what will happen next and understanding the best that can happen.

Source: For more information on business intelligence BI software, SAS BI solutions for health insurance, visit sas.com

Business Intelligence Software Service

Business Intelligence BI Software Service

A better understanding of your customers will help you plan actions to increase their satisfaction. Based on the customer intelligence report, companies globally are taking crucial and critical decisions everyday with confidence. It is better to rely on facts for decisions rather on gut feeling. Furthermore, Business Intelligence also gives you the benefit to assess business performance from different angles.

The analysis will give you a better understanding of the behavioral pattern of your customers supporting you to build a stronger and better relationship with them. It will help improve your rapport with them winning lifelong loyal customers.

With Binary’s Business Intelligence Solutions, you can convert your customer data into intelligent and meaningful business information. This provides you with a competitive and business advantage, at the same time increasing your operational efficiencies.

Our team with their expertise conducts a thorough data analysis using tools like Cognos and Hyperion bringing out exact information and facts before you. Our reports address key business areas providing you with beneficial and relevant information which in turn can provide your organization with ample opportunity for growth.

Our Methodology

We extract all the important and relevant information from multiple sources. All the information is converted into intelligent facts and knowledge. Important data is filtered out and summarized. Our team also has the expertise to identify and predict the future trends. They will analyze and suggest the actions that need to be taken to reduce future risks and increasing benefits.

Our key differentiators
• Faster implementation of future actions and plans
• Detailed database of different industries and categories
• It ascertains the present position of the company
• Better planning of marketing strategies

Business Intelligence is all about using the analyzed data wisely to make better business decisions. At Binary, we provide you with intelligent solutions to help you take intelligent business decisions.

Source: Business intelligence BI software information at articlesbase.com