Healthcare
Infosys Healthcare Analytics Solution Actionable insights to engage consumers improve health and quality of care and reduce costs With exponential growth in the amount of information, the need for enterprises to manage information and make it actionable is growing as well. Healthcare payers need to make evidence based critical business decisions in terms of patient care, cost containment, operational efficiency improvement and customer satisfaction. Business intelligence and related information management are expected to be top IT investment for healthcare organizations.
Solution Overview Infosys Healthcare Analytics solution provides next generation analytics capabilities by incorporating predictive analysis, r eal-time data integration across disparate data sources, data correlation as well as dynamic and flexible reporting to offer integrated information management. The solution is a suite of ready-to-deploy analytical solutions and frameworks to help payers and/or plan sponsors take proactive measures for cost containment and operational efficiency improvement.
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Member Liability Estimator (MLE) • Framework compliant with the ICD9 and ICD10 coding standards to determine member liability at real-time prior to the service being rendered enabling quicker payment collections for providers and reimbursements from payers. • Hybrid approach combining a statistical model and a rules engine to derive the member liability estimates in less time than the realtime adjudication approach • Intelligent questionnaire to assess a member’s underlying medical conditions that might affect the estimate there-by providing a personalized and accurate estimate Member Switchover Analysis • Comprehensive statistical and predictive modelling based solution framework for identifying potential switchover candidates and analyse their details • Other features include member risk profiling, root cause analysis on past switchover data resulting in switchover card generation, member profitability and lifetime value analysis for focused retention strategies Provider Network Performance Management (PNPM) • One stop analytical platform to measure and track performance of the network operations and the providers using customizable, interactive and actionable dashboards. • Measures performance across different categories such as health plans, P4P, contracts, credentialing etc, through correlation with the benchmarks along with efficiency improvement strategies identification • The framework is a strong harmonization of analytical IT and business process services for continuous performance improvement with respect to quality as well as operations
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Value Based Benefit Design Program End-to-end solution approach for analytics around chronic disease data of members and their treatment compliance patterns; recommending effective plan or benefit changes for attaining increased compliance and reduced cost
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Care Management Analytics Solution A comprehensive solution that supports proactive identification of members with conditions (like pre-diabetes and heart conditions) that have the potential to turn chronic; development and performance of patient-centric campaigns; initiatives that aim to bring treatment in line with health outcomes; and identification of alternate levels and places of care
Member Liability Estimator
Analytics Services
Member Switchover Analysis
Provider Network Performance Management
Value Based Bene t Design
Care Management
Pay for performance, access to care, member wellness care, Reporting
Integration Services
Work ow Management
Claims
Predictive Modeling
campaign development and performance Analytics modules interlinked with healthcare frameworks,
Data
Intake ETL
Bene ts
Pattern Matching
Cleansing
Network
Member
Adapters
integration of modules for wellness, patient-centricity and a ordability
Clinical (Provider)
Campaign performance
Value Proposition Improved Decision Making Support: Best-in-class analytical capabilities through comprehensive reports and statistical models combined with realtime data aggregation, intuitive dash boarding capabilities and customization support.
Accelerated Time-toMarket: Reusable components such as predefined list of KPIs for provider performance management complying with healthcare standards (HEDIS, CAHPS), statistical model approach, data model, adapters to pull data from widely used health plan information systems accelerate total build time.
End-to-End Impact: Covers the entire span of analytics from real time data aggregation, role based dashboard that provide proactive real time alerts, simulation, what-if analysis and predictive analytics
Lower Total Cost of Ownership: Can be implemented and integrated with customers’ existing reporting and modelling tools & technology with minor customization. Reduces the need to maintain business analytics support team for extended time periods
Deep Healthcare Analytics Expertise: Trained healthcare professionals with hands-on experience in payer and provider environments supported by large number of data mining and statistical modelling consultants.
Service Offerings Infosys Healthcare Analytics
Solution Offerings
Consulting
Con guration & Development Services
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Consulting for BI implementation Services • Assessment and roadmap de nation • Reports and algorith design • Customization
Solution Toolkit
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Interface development and solution integration • Analytics setup • Solution implementation and roll out
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Knowledge Process Outsourcing •
Technical consulting for BI Analytics / Algorithm designing • Model creation and implementation • Reports / Dashboard creation
Steady Support • • • • •
Help Desk (Level 1,2,3) Data Management Infrastructure Hosting SaaS Model User Training
Ready to deploy solutions and products for ICD 9 - ICD 10 Conversion Out of the box statistical models that are ready to deploy Pre-built reports and dashboards that can be customized to clients needs
About Infosys Public Services Infosys Public Services is a U.S. based subsidiary of Infosys (NASDAQ: INFY), a global business consulting & technology services company. Infosys Public Services helps Healthcare & Public sector clients to transform, innovate and optimize their organizations to build tomorrow’s enterprise. We blend 30 years of commercial best practices with innovative industry solutions, best-of-breed partner content and proven execution to deliver measurable business value with predictability. For more information, contact askus@infosyspublicservices.com
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© 2012 Infosys Public Services, Plano, Texas, USA. Infosys Public Services believes the information in this publication is accurate as of its publication date; such information is subject to change without notice. Infosys Public Services acknowledges the proprietary rights of the trademarks and product names of other companies mentioned in this document.