We bring our platform and data science accelerator assets to the table and rich experience from working with healthcare payers of different types.
Virtusa’s Healthcare Payer Analytics optimizes payer performance by leveraging AI-as-a-Service and machine learning (ML) for an intelligent dashboard. It improves workflow inefficiencies, helps decision-making, and enhances the patient and clinician experience.
The Healthcare Payer Analytics platform uses data centricity, predictive analytics, and ML for reducing healthcare costs. The platform increases the efficiency of provider onboarding, claims services, enrollment, and care management of patients.
Healthcare Payer Analytics provides intelligent, descriptive, predictive, and prescriptive visualizations. It creates provider and member functional and sub-functional reports and dashboards that include operational and strategic shared services.
Virtusa’s Healthcare Payer Analytics has data governance that maintains provider onboarding, claims, membership enrollment, and care management. It includes master data management, data quality management, data security and privacy management, and data reconciliation platform for members.
Virtusa’s Healthcare Payer Analytics uses AI/ML-driven analytics, task routing, business rules-driven integration, and intelligent workflow by leveraging cognitive analytics. Smarter intake leverages Natural Language Processing (NLP), Optical Character Recognition (OCR), and Handwritten Character Recognition (HCR). Efficient claims processing uses adaptive and predictive AI models, while focused care management is based on the propensity of member parameters.
IBM Watson is a data analytics processor that uses Natural Language Processing (NLP) and analyzes vast data repositories. It helps payers quickly go through large data sets, such as claims reports, and isolate desired information for improved workflow. Virtusa’s Healthcare Payer Analytics uses data sets – MarketScan, Explorys, SpringPulse (SDoH), market research, and analytics methodologies such as Flexible Analytics.