Solution Group Name

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How does HDMS help *insert group*?

Health is connected, but data can be another story. Get whole health insights with integrated data from across your enterprise and your partners.

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Unleash your analytic teams

Analysis across many plans and partners. Enriched data drives innovation.
  • What do members need?
  • What works best for who?
  • How are programs performing?
  • What should we do next?
Share strategic value with plan sponsors. Attract and retain business.
  • Show measured results
  • Tailor analytics to highlight value
  • Reveal opportunities for improved health and lower costs
  • Show optimization opportunities
Optimize for your members. Know your network.
  • Build Provider scorecards
  • Look beyond costs and consider SDoH
  • Easy access to data for negotiations
  • Proactive alerts for outliers
Get answers to busy executives, even when the questions change.
  • Utilization and expense reporting
  • Extensive high cost claimant investigations
  • Dig into capitation analytics
  • Explore Premiums across plans

What is the measured value and health impact of this point solution? How does this partner solution influence total health costs?

Learn About Enlight

Deliver analytics across many audiences

More insights with less work improves many parts of your business

 

Reports Analytics

Visualize data for customers

Interactive Analytics

Visualize data for customers

Self service analytics

Empower internal teams

Dashboards and Alerts

Simplify insights for busy executives

Analytic Pathways

Surface connected insights to analysts

Health plan data analytics for a wide variety of markets

We have years of experience working with commercial plans in a variety of distinct markets across the U.S. gives us an exceptional understanding of the data and insights you need to gain a competitive edge.

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We offer Medicare and Medicaid plans opportunities for data-driven cost and quality control. Our sophisticated data analytics tools can help illuminate beneficial cost savings and quality improvement initiatives for even the most vulnerable and high-risk member populations.

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Our sophisticated data analytics tools have helped regional plans and MCOs measure and manage risk for years. We offer you the ability to identify the highest risk populations for more focused and effective cost and quality management programs.

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It’s all about the data

Analytics are easy when the data is prepared in the right away

Connected views with member-level data, across sources both within and outside your organization

Build an analytic environment, fed by your enterprise data warehouse (EDW). Bring together multi-source in-house information along with other third party and supplemental data.  Be nimble and fast to act.  Build a data foundation that lets you understand the people in your population, from all health perspectives.  Your Member 360 is the foundation of holistic health insights for your organization.

Artificial intelligence and machine learning is at work for you. Interact with predictions and member-level outputs for activation strategies.

So many possibilities to apply artificial intelligence and machine-learning-based predictive models.  Let’s use them where we can make an impact – that’s our philosophy.

Data preparation classifies and structures data, including 40+ industry methodologies.

Data prep and data engineering makes all the difference in analytic environments.  Applying industry standard and industry-leading methodologies within your health data platforms lets you ask questions like Which providers need to reduce gaps in care?  with just one click.

(which providers are referring to high cost evaluate primary care physicians referrals to specialists) – instead of cheaper alternatives

Everything becomes immediately better

Design advantageous products and programs

Affordable, convenient, engaging, equitable – for target market preferences

Optimize plan performance

Guide Plan sponsors to achieve your highest value and stay with you longer

Avoid surprises

Create transparency into trends and emerging risks

Deliver efficiencies

Complete administrative reporting fast and effectively. More time for innovation

Take A Product Tour

HDMS builds and manages health data applications that do more with data. Check out our specialized technology platform used to build analytic applications containing health data.

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