Healthcare

Health Plan Solutions

Analytic Consulting

Make sound business decisions with key insights into consumer behavior and market dynamics.

Analytics/Measures

Use proven analytic methods to calculate return on investment and unsurpassed tools and methodologies to deliver solutions tailored to your needs.

Care Management Analytics

Target the right members with the right interventions at the right time.

Consumer Solutions

Empower members to become active healthcare consumers with personalized, easy-to-use decision support tools.

Data Management

Public or private clients can integrate multiple data sources into a standard format — generating actionable information that can be easily shared across the organization.

Employer Group Reporting

Employer Group Reporting enhances information transparency between health plans and third-party administrators and their employer customers.



Enterprise Decision Support

Streamline workflow and address cash flow issues with financial planning and revenue cycle management tools.

Fraud and Abuse

Use decision support applications and advanced data investigation methods to detect and investigate healthcare fraud, abuse, and waste.

HEDIS

HEDIS Compliance Audits or Audit Reviews for both health plans and physician organizations.

Norms and Benchmarking

Learn how your programs rate against demographic, industry, geographic, and other relevant norms.

Performance and Quality Measurement

Accurately assess performance with clinically sound information that accounts for severity and cormorbidities.

Plan Design

Develop the best plan design for your covered population— increasing satisfaction and reducing costs.