
Areas of Interest
Clinical
Analysis: Analyzing and interrogating the in-patient/out-patient
process from diagnosis to treatment to outcome in order to
decipher discrepancies between inpatient costs and outpatient
health.
Market
Analysis: Analyzing patient market share in terms of
competitors and how volume of treatment translates to lower
overall costs. This also correlates to physician practices
and billing vs. overall market.
Financial
Analysis: Analyzing the key metrics within the organization
such as revenue, investment income, medical expense, pharmacy
costs, claims received, claims paid within 7-30 days, abandonment
rate of those claims, etc., to meet internal goals and improve
cash flow.
Protocol
Development: Developing policies and procedure that
identify patterns of care that will help in the development
of cost-effective protocols. An example would be that if patient
is diagnosed with X, then treatment should be Y.
E-Commerce:
For healthcare, there are two distinct applications
for e-Commerce: 1) Patients would receive personalized information
based on ailment history as well as payment information 2)
Providers could do lab ordering, review lab results, write
and deliver prescriptions, etc. all online.
Customer Relationship
Management: Healthcare plans and
providers can increase the frequency and value of communications
with patients ultimately leading to better compliance with
protocols and improved health outcomes.
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