TEG offers a suite of Healthcare Analytics solutions to help you make better business decisions

Leverage our deep industry experience, proven analytic prowess and global delivery model

Healthcare

 

TEG’s HealthWorks, a solution powered by Tableau and publicly available healthcare data, helps payors predict in-market performance within five business days from the release of plans by CMS.

Payors/Insurers

Analytics Area Business Questions
Product Impact Analysis
  • What are the important product attributes driving enrollments of the insurance plans?
  • What percentage of the performance is impacted by the changes in product attributes from the previous year?
  • What are the common characteristics of top gaining/ losing plans in a market?
  • How can one profile exceptional plans in a market?
  • What attributes do the customers prefer?
Product Design Analysis
  • What are the important product attributes driving enrollments of the insurance products?
  • What is the elasticity associated to each of the product attributes in a market?
  • What kind of product changes could be anticipated from the competitors in a market?
Marketing Impact Analysis
  • How does one’s marketing activities drive enrollments of the insurance plans?
  • How effective and efficient are one’s marketing activities in a market?
  • How does marketing interplay with the product attributes in driving the enrollments in a market?
  • How can one develop an ability to predict in-market performance and in turn decide the required marketing dollars to be invested?
Marketing Optimization
  • Which marketing medium is contributing the most to the ROI?
  • How does one optimize the marketing spend across the multiple marketing channels?
  • How can one simulate various ‘what-if’ marketing spend scenarios and observe various outcomes before investing in a market?
Marketing Campaign Measurement
  • What is the effectiveness of the Direct & Digital mailing companies?
  • What is the cost of acquisition of a new member? How does this vary across demographic factors?
  • Which regions should one target more to get more conversions?
  • What sort of products, packages and creatives are well received by the prospects?
  • How should one message the product in a digital or direct mailer?
Providers

Analytics Area Business Questions
Patient Segmentation
  • How can one segment the patients based on the demographics?
  • How can a provider utilize the above information to better staff and provide efficient facilities?
  • How should one collaborate with the insurance plans based on the demographic requirements of patients in the region?
Profitability Assessment
  • How can one identify profitable divisions and locations for medical facilities across geographies?
  • How does one provider’s facilities compete with the competitor networks?
Medical Record Data Management
  • How can a provider have access to patients’ past medical records?
  • How can one have easy access to patient claims data?
Marketing Optimization
  • Which marketing medium is contributing the most to the ROI?
  • How does one optimize the marketing spend across the multiple marketing channels?
  • How can one simulate various ‘what-if’ marketing spend scenarios and observe various outcomes before investing in a market?
Fiscal Organisation

Analytics Area Business Questions
Claims Settlement Analysis
  • How can one detect fraudulent claims using business rules and statistical analytics?
  • How can one optimize the Claims processes that includes activity optimization, payments optimization, etc.?
  • How can one develop a fraud-propensity score using the existing transactional data?
  • How can an insurer predict and identify the fraud activities before it impacts the business?
Fraud, Waste & Abuse (FWA)
  • How can one leverage the existing data to discover previously unknown fraud schemes?
  • Can one differentiate between the opportunistic fraud and the professional fraud?
  • How can one develop a fraud-propensity score using the existing transactional data?
  • How can an insurer predict and identify the fraud activities before it impacts the business?

Leave a Reply

Hide dock Show dock Back to top
Loading