Health Plan Data Management and Usability Solution

Healthcare payers looking to beat the challenge of accessing usable data to improve their operations and member experience look to Abacus Insights’ Buy+Build approach. We are the U.S. leader in data usability for payers, supporting their tech teams, data teams and business units. Payers work with us because we offer them usable data at an unprecedented 4-6 month time-to-value and 60 percent lower TCO. Our key offerings include: Data Transformation Platform: Our platform enables payers to achieve a unified data foundation with digitally interoperable data that reach a new standard for usability by meeting six dimensions: accurate, complete, current, relevant, versatile, and use-case and application agnostic. It consolidates, standardizes and validates billions of pieces of structured, semi-structured and unstructured data from multiple internal systems and external sources including labs, pharmacies, EHRs, HIEs and digital apps. Our delivery model allows payers to tap into our platform’s best in cloud technologies and leverage its benefits across four distinct data stages with automated operational support – acquisition, organization, enrichment and access. Core features: -Modularly deployed to meet specific business needs -Configurability - co-exist with existing enterprise platforms and architectures -Data Control -Integration with Tech Stack -Scalability – 21+ million members -Security – HITRUST CSF, SOC2 -Tech Currency -Interoperability Data Solutions: Our suite enables payers to give key functions and delegated entities the usable data needed to power both key organizational initiatives and business unit goals. They can use data for faster and better decision-making with confidence and flexibility. MyMetrics: This tool offers unprecedented direct, on-demand access to metrics tailored to specific payer functions and business needs, including risk adjustment, cost-of-care clinical data and CMS interoperability, enabling improved decision making, management and alignment with strategic priorities. The metrics are presented in a table accessed through a cloud dashboard, and they can be further divided by line of business, product, geography, attributed provider, and disease cohort. Abacus Insights has built more than 100 metrics, with more under development. Workflow to access Data/App Request access to this listing, and an Abacus Insights representative will be in touch - Connect Snowflake and Abacus Insights - Map your data fields via data sharing - Drive powerful insights

搜集汇总

背景与挑战

背景概述

该数据集聚焦于Abacus Insights公司为医疗支付方提供的数据管理和可用性解决方案，旨在通过数据转换平台和工具帮助支付方快速获取可用数据，以优化运营和提升成员体验。其核心包括统一数据基础、多源数据整合、模块化部署和安全性保障，并支持通过MyMetrics工具访问定制化指标，促进决策和管理。