Business Intelligence solutions for Health Plans
Published: April 17, 2006
Because all health plans have similar access to customers, provider networks, and claims data, competitive advantage is increasingly built on their ability to control administrative and medical costs by empowering staff, customers, and partners to make better-informed financial and clinical decisions. To succeed, health plans must be able to anticipate emerging trends and rapidly adapt strategy and business processes to focus on the right opportunities at both the operational and clinical levels.
Business Intelligence (BI) solutions using Microsoft technology will offer health plans a flexible and easy-to-use (BI) platform that will help anticipate trends and extend from the data center to the desktop to mobile devices. Use this page to learn more about these solutions and find a Microsoft partner that can build a solution that fits your company’s needs.
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Featured case study: Clalit Health Services reduces errors, lowers costs, and improves patient health
As Israel’s largest healthcare provider, Clalit Health Services faces the same business pressures that confront health plans across the globe: rising costs and growing consumer demand to play a greater role in financial and clinical decisions. Clalit recognized that to make the most effective day-to-day decisions, its staff and patients needed online access to relevant, useful information. Delivering this data required a low-cost and low-maintenance enterprise integration (EI) solution. Clalit turned to Microsoft BizTalk Server 2002 and ContentMaster from ItemfieldŽ to consolidate data from more than 20 disparate systems. The EI solution has had a dramatic impact. Millions of members now have online access to vital information and services. And, Clalit’s 12,000 doctors and nurses are making better-informed decisions to reduce errors, lower costs, and improve the health of members. Read the full case study:
Business Intelligence solutions for Health Plans from Microsoft partners
These featured partners offer business process and integration solutions built on the Microsoft platform:
| • | Acorn Systems
Acorn Systems provides unparalleled profit analytics, metrics and activity based costing that enables healthcare organizations to dramatically reduce costs and increase profitability. With Acorn Systems Enterprise Profit System (EPS), organizations have actionable cost and profitability information for every dimension of their business including customer profitability, product profitability, transaction profitability, facility benchmarking, cost to serve process costs, and shared services cost allocations. Health plans use EPS running on Microsoft SQL Server 2005 to determine the cost and profitability across their book of business and lines of business, suppliers, and even transactions to make informed decisions that help them improve profitability, contain costs, and increase operational efficiencies. |
| • | Avanade, Inc. (Microsoft Gold Certified Partner)
Avanade is the leading technology integrator with specialization in the Microsoft enterprise platform. Avanade helps customers around the world maximize technology investments and create comprehensive solutions that drive business results. Avanade’s services and solutions span all Microsoft enterprise technologies to deliver improvements in infrastructure and applications. |
| • | Milliman
For more than 50 years, Milliman has pioneered strategies, tools, and solutions worldwide. One of the largest consulting and actuarial firms in the United States, Milliman has recognized leaders who have helped shape significant changes in the markets they serve. Milliman insight reaches across global boundaries, offering specialized consulting services in employee benefits, healthcare, life insurance, and financial services, and property and casualty insurance. |
| • | ProClarity Corporation (Microsoft Gold Certified Partner)
ProClarity is a front end analytic client to Microsoft SQL Server Analysis Services. ProClarity, a 2005 Microsoft Global ISV finalist, is a fast-growing, specialized provider of analysis software (platforms and tools) that give global 3000 organizations business professionals a simple, powerful and adaptable interface to insight. ProClarity software is built to extend the Microsoft Business Intelligence Platform, providing the critical component of advanced analytics.. |
| • | Quilogy (Microsoft Gold Certified Partner)
Quilogy provides clinical, business, and technical solutions through its healthcare and public-sector industry practices. Headquartered in St. Charles, Missouri, Quilogy has 14 offices to deliver services primarily in the Central and Midwestern regions of the United States. Quilogy uses Microsoft technologies to develop and implement solutions for hospitals, rehabilitation facilities, outpatient facilities, pharmaceutical companies, software vendors, and public-sector health agencies. Quilogy’s Information-Worker practice focuses on boosting healthcare information-worker productivity to achieve competitive advantage. Quilogy healthcare solutions are a combination of accelerator and customized solutions that integrate into clients’ existing environments and platforms. Quilogy offers special healthcare technology and public-sector expertise in Portals and Collaboration, Integration, and Mobility. |
