Case Studies

CASE STUDY I: WASTE IN US HEALTH-CARE

Client: Health Plan XYZ

Problem: U.S. Health-Care System wastes $750 Billion Annually

Our Solution

Our proprietary logic identified cases of wasteful tests, procedures, and prescriptions, and provided actionable insights and reporting to educate providers and patients.

What We Did

We crafted creative and effective Analytical solutions to address complex Health-Care System wastes. We leveraged our expertise in practical utilization of Information Technology and employed our leadership and management training and experience, guiding teams and spearheading Big Data and Advanced Analytics initiatives across all levels of enterprise. We specifically:

  • Mined Enterprise Big Data for Actionable Insights
  • Custom-Designed New Analytical Tools
  • Performed Competitive Intelligence
  • Supported Strategic Operational Planning
  • Guided and supported Big Data and Analytics initiatives

CASE STUDY II: COMPREHENSIVE COSTS DATABASE DEVELOPMENT

Client: Contract Research Organization ABC

Problem:

CRO was working on a project for a pharma client who wanted to model the increasing health utilization costs over the last 12 months of life in a cohort of patients. CRO assembled the cohort and could track their procedures and drugs, etc., but the data provider did not want to share costs since they were part of their trade secret/competitive practice. CRO needed to build a ‘crosswalk’ to match these procedures to costs.

Our Solution

Using commercially available medical and pharmacy claims databases, we built a comprehensive and standardized costs database for HCPC / CPT codes