Healthcare Analytics

We provide perspectives on the healthcare landscape, from market structures and public health analytics to consumer, employer, payer, and physician insights.

Our suite of diagnostic and value-assurance analytics allows healthcare organizations to improve and sustain access to high-quality, affordable care.

Our payer- and provider-specific diagnostic and performance-management tools help drive quality, resilience, and stewardship.

A national hospital system was struggling with transparency related to labor productivity. It spent outsize time and resources on staffing while still experiencing scheduling-management issues and high premium utilization. We partnered with the provider system to provide visibility into department-level performance in productivity, premium pay, and financials through Workforce HQ. The web app helped set a baseline understanding of the current state among its users by facilitating daily departmental-scheduling discussions and enabling entity leaders to focus on departments needing assistance. The hospital system currently has more than 600 active Workforce HQ users onboarded, and it has seen an improvement of more than two percent in labor spending.

When a private-equity company aimed to support a five-year growth plan with significant investments in risk-bearing healthcare providers, we partnered with it to design a deep-market analysis and assessment of third-party health plans in the market. Leveraging our Healthcare Market Intelligence platform’s integrated access to proprietary and third-party data, we helped the company quickly build deep insights across market size, profitability, member profile, competitiveness, and market perception. The rapidly developed, nuanced understanding of the company’s precise market conditions has helped it execute market-specific contracting and growth strategies set to double its customer base over the next five years.

When a medical insurer experienced a sharp increase in medical utilization, it asked us for help in diagnosing its book of business, with the goal of uncovering evidence-based hotspots for implementing value-based initiatives. We used Clinical Concept Benchmarking platform to enable an evidence-based assessment and prioritization of initiatives to optimize medical costs. The tool quickly generated insights, revealing risk-adjusted gaps on the insurer’s year-over-year spending compared against third party data, including real-time insights by business lines, products, and geographic segments, as well as our proprietary clinical-risk groupers. Using the insights provided, the client has realized 80 basis points to date on total cost of care through optimized medical costs and improved clinical care.