Analytics for Population Health, Pay-for-Performance, Quality Improvement
 
(877) PLURALS [ contactus@pluralsoft.com ]
 
 Provider Analytics
 Payer Analytics
 Data Integration
 EMR / Patient Portal
 HIV / AIDS Disease
 Management
 Clinical Text Mining
 
 
 

 

 

  Home > Solutions  
 
Fact Sheet
CareQuotient Solution Brief
 
 
Case Studies
Analytics using structured and unstructured data for a TPA
 
 
  Healthcare Payer Analytics  
 

U.S. healthcare reform legislation will have the greatest impact on private insurers and other payers. Among the most significant mandates are:

 
 
Guaranteed-issue policies  
Pre-existing condition bans  
Lifetime maximum bans  
Annual benefit limit restrictions  
Premium rate restrictions  
Extended dependent coverage  
Expanded mandatory coverage for preventive services  
Consumer web portal requirements  
Improved transparency of information and audits  
 
  PluralSoft can help payers reduce the risk of revenue loss, reduce overhead costs and enhance quality of care with our combination of healthcare expertise and industry-leading CLINICIO™ data-analytic software.  
  Benefits:  
 
Gain faster access to member health records in order to accelerate the development of new products and self-care incentives for consumers
Gain access to clinical outcomes reporting from providers in order to better analyze risk and administer new pay-for-performance reimbursement models
Manage and integrate the coming deluge of clinical and administrative data from providers
Improve access to quality care while reducing costs
Accurately predict future costs in order to maximize your top and bottom lines
 
     
Copyright © [ 2003 - 2014 ] PluralSoft Inc. All Rights Reserved.
[ Terms of Use | Privacy Policy | Home | Contact Us ]