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Decision Intelligence for

Healthcare

Decision Intelligence for Healthcare is your gateway to improving productivity and processing claims accurately and quickly.

The results are fast—reduced administrative costs, increased capacity utilization, and a significant productivity boost—plus, your people are happier, more motivated, and cross-skilled.

Driven by predictive and prescriptive AI, Decision Intelligence for Healthcare surfaces the insights and recommendations you need to make better decisions across your teams.

Are you struggling to match finite capacity to unlimited supply?

Are you able to mitigate SG&A risks?

Are able to reduce processing times and deliver ahead of SLAs?

Can you flex your resources across your departments to manage peaks and troughs?

Are you delivering more with less and optimizing MLR?

Do you know exactly where your team are spending their time and effort, right now?

We work with many of the leading healthcare payers in North America. Our experience spans x years, and our approach and methodology (AOM), which supports Decision Intelligence, is proven globally across the insurance and banking sectors.

AVERAGE
CAPACITY GAIN

20%
IN 1ST YEAR

CLAIMS PROCESSING
14.1%
IMPROVEMENT

SAVED
$7M
IN FIRST 9 MONTHS

HARD
53 FTE
SAVINGS

INVESTMENT IN UPSKILLING
6.3 FTE
STAFF P/M

MORE STORIES

The power of Decision Intelligence for Healthcare

More capacity

More clarity

More control

More accuracy

New Research

Senior operations leaders have responded, and we are working hard to collate the findings and give you the ultimate report on the state of data, the adoption of AI and the ability to make better decisions in healthcare organizations in North America.

Register today to receive your pre-launch copy of the report.

Almost half of healthcare operations leaders are frustrated their data can’t tell them:

What happened (44%)

Why it happened (45%)

How likely something is to happen (44%)

What action to take (47%)

61% of healthcare data is over a week old, with some using data that is three months or older

Decision Intelligence for Healthcare supports operations across many use cases

Whatever your use case needs, we can help. Our solutions work across back and front office. We help you see where your employees are spending their time and how to optimize your teams to drive increased performance.

Claims

Provider Data Services

Care Management

Clinical Case Management

Enrollment

Resolutions

Member and Plan Enrollment

Payment Integrity

Utilization Management

Provider Credentialing

Our Product Suite

Relevant and consistent data significantly improves visibility. The ActiveOps operations data model is built for service ops and sits within our products, providing you with one source of truth for all your decisions.

Intelligence for Transactional Service Ops

Prescriptive, AI-driven analytics that identifies hidden capacity and utilization, and prompts action to drive effectiveness and control.

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Intelligence for case-driven teams

Predictive analytics to keep casework and SLAs on track. Real-time view, real-time decisions.

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Employee and wellbeing Intelligence

Diagnostic insights highlight what is impacting performance, work and employee experience.

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Discover how we can help you:

Meet all your SLAs
Improve decision-makings
Support capacity and skills planning
Manage your caseloads effectively