Healthcare Business Intelligence

Healthcare Business Intelligence

The healthcare IT eco-system comprises data from multiple sources including consumers (individuals & companies), clinics, claims processing units, insurance systems, call centres, financial systems and pharmacies. To this list we can now also add data from wearable devices, an area that is poised to explode in terms of numbers of users and the volume of data generated.

These sources generate a huge amount of diverse yet interrelated data. When systematically homogenized and integrated this data can provide tremendous analytical insight and operational efficiency. The challenge comes from the variety of systems, legacy platforms and independent suppliers of this data, plus the additional complexity of adhering to regulatory compliance, different industry standards, and privacy laws such as HIPAA, SOX, and ICD.

 

Hoonartek’s healthcare business intelligence solutions help organisations overcome these complications, using our expertise in data integration, traditional data warehouses and big data platforms.

Our consultants have empowered clients to implement healthcare business intelligence solutions in areas such as:

  • Fraud & abuse management systems covering both healthcare provider and pharmacy.
  • Medical cost informatics to understand and  analyse costs.
  • Enterprise metadata governance and stewardship,  for understanding legacy integration.
  • Legacy modernization for core operational systems  in claims and benefit management using insurance KPI.
  • Data archival and records retention.
  • Integration between front end sales channel and back end warehouse, for cross sell.
  • Statement generations and lifetime accumulators.
  • Code conversion, mapping and upgrades between different systems.
  • GL reconciliation between finance and  operational data.
  • Implementation of data lakes for holistic customer data,  to identify and assist in underwriting, defining new products and risk management.