This solution suite implemented a scalable and automated framework to quantify total savings and fair allocation to individual initiatives. The associated dashboard can be used to gain insights from cost saving initiatives on Insurance data. This can also be used to implement granular budget to estimate expenses. Framework can help to curb Fraud, Waste and Abuse(FWA) of crucial resources.
Input variables : Insurance Claims Data, Case management, Authorization Data
Output Variables : Average price per patient & per DME code, Clinician & patient counts Utilization per patient per DME code
| Business | : | Drug Cost per Visit | Avg Treatment Cost |
| Infrastructure | : | Log Bytes | Logging/User/IAMPolicy | Logging/User/VPN | CPU Utilization | Memory Usage | Error Count | Prediction Count | Prediction Latencies | Private Endpoint Prediction Latencies | Private Endpoint Response Count |
Visit Model : medictiv.citiustech.com
Additional links : f.hubspotusercontent30.net
| Model Category | : | Commercial |
| Date Published | : | January, 2017 |
| Healthcare Domain | : | Payer |
| Code | : | Not available |
| Utilization Management |
| Cost of Care |