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Improving the Business of 
Healthcare through Better Analytics 
PING ZHANG 
July 2, 2014 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 1
Our Healthcare Challenges 
“…we 
spend 
more 
on 
healthcare 
than 
the 
next 
10 
biggest 
spenders 
combined: 
Japan, 
Germany, 
France, 
China, 
the 
U.K., 
Italy, 
Canada, 
Brazil, 
Spain 
and 
Australia. 
We 
may 
be 
shocked 
at 
the 
$60 
billion 
price 
tag 
for 
cleaning 
up 
aJer 
Hurricane 
Sandy. 
We 
spent 
almost 
that 
much 
last 
week 
on 
health 
care.” 
§ US 
Has 
Highest 
Health 
Care 
Costs, 
Worst 
Outcome 
Among 
Civilized 
Na<ons 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 2
Big data = $300+ Billion/year in US Healthcare 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 3
What impact is big data making in healthcare? 
BIG 
z 
z 
DATA z 
z 
Medicaid 
z 
z 
Labs 
z 
z 
Payers 
zzz 
z 
z 
zz 
z 
zz 
z 
HIE 
Clinics 
ü Discover & prevent wastes and quality issues 
ü Redesign healthcare: heal the sick patient -> keep the public healthy 
ü Expedite discovery of new drugs, medical device & methods 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 4
10,000+ 
DATA FEEDS 
10K+ 
incoming 
daily data 
feeds. 
21+ 
BILLION 
21+ billion 
discrete 
episodic 
accounts 
MedeAnalytics By The Numbers 
32+ 
MILLION 
representing 
32+ million 
covered lives/ 
members 
300+ 
TERABYTES 
manage 
300+ TB 
of data 
ü The 1st cloud-based healthcare data analytics solution since 2001 
ü Over 900 hospital and payer clients in the US and UK 
ü The 1st healthcare big data analytics solution powered by HP Vertica 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 5
COST 
REVENUE 
COST 
REVENUE 
QUALITY 
RISK 
RISK 
Financial and Clinical 
Performance 
QUALITY 
- Enterprise Risk Analytics 
- Population Stratification 
- Quality Performance 
- Quality 
- Cost and Utilization 
- Service Line Analytics 
- AR Analytics 
- Compliance 
- ICD10 Coding and 
Benchmarking 
- Patient Access 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 6
MedeAnalytics Solution Suite 
Providers 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 7 
7 
Improving 
financial, 
operaPonal 
and 
clinical 
outcomes 
Popula'on 
Analy'cs 
ACO 
& 
Bundled 
Payments 
Network 
Management 
Provider 
Engagement 
Medical 
Management 
& 
Medicaid 
Performance 
Management 
Popula'on 
Health 
Coding 
and 
Pa'ent 
Access 
Benchmarking 
Compliance 
& 
Revenue 
Integrity 
Revenue 
Cycle 
One 
unified 
plaEorm 
for 
Health 
Plans 
and 
Providers 
Health Plans
MedeAnalytics Solution Architecture 
Batch 
Data 
Processing 
– 
Daily/Weekly/Monthly 
Data 
Loads 
Data 
Warehouse 
(Stage) 
FTP 
Server 
Farm 
Customer’s 
HCIS 
ETL 
Server 
Farm 
Text 
Files 
Text 
Files 
SQL 
Data 
End 
Users 
User 
Driven 
Analy'cs 
– 
Online 
Web 
Applica'on 
Interac'on 
Key/Value 
MDX 
Cached 
Reports 
ROLAP 
SQL 
User 
Clicks 
Logs 
MedeAnaly'cs 
BI 
PlaEorm 
JSON 
Switch 
Data 
Warehouse 
(Produc'on) 
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 8
Pentaho 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 9 +1 (866) 660-7555
An architecture for any future, 
analytics for any data 
DBA/ETL/BI DEVELOPER BUSINESS USER BUSINESS/DATA ANALYST 
OPERATIONAL DATA BIG DATA PUBLIC/PRIVATE CLOUDS DATA STREAM 
SIMPLIFIED 
ANALYTICS 
EXPERIENCE 
BLENDED 
BIG DATA 
ENTERPRISE 
BIG DATA 
INTEGRATION 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 10 +1 (866) 660-7555
WHAT WE DO 
We enable the modern, big data-driven business 
Modern, cohesive data integration and business analytics platform 
• Full spectrum of advanced analytics for all key roles 
• Embeddable, cloud-ready analytics 
• Big data blending for analytics in real-time environments 
• Broadest and deepest big data integration 
Innovation through open source 
• Open, pluggable, purpose-built for the future 
• Early sustained leadership in big data 
ecosystem with technology innovation 
Critical mass achieved 
• Over 1,200 commercial customers 
• Over 10,000 production deployments 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 11 +1 (866) 660-7555
OUR VISION 
The New Reality: 
Powerful yet simplified analytics for all users 
Billing 
Social 
Media 
Location 
Customer 
Web 
Network 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 12 +1 (866) 660-7555 
Analytics 
ANY Analytics 
• Reports 
• Dashboards 
• Visualizations 
• Discovery 
• Predictive 
• Any role 
Existing & New 
Data Infrastructure 
& Processes 
ANY Environment 
• Data warehouses 
• Data marts 
• Stack vendors 
• Cloud 
• Embedded 
ANY Data 
• Relational 
• Operational 
• Big Data 
• Data sources not 
yet anticipated
Two key pressure points are disrupting the 
traditional analytics market 
On the road to the modern big data driven enterprise 
Different Audiences View 
Different Needs 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 13 +1 (866) 660-7555 
Easily Interact, 
Visualize & 
Explore 
Blend Data for 
Comprehensive 
Effectively 
Administer, 
Manage & Deploy 
Business Managers 
Business Analysts 
Data Scientists 
Admins 
IT 
Escalating Need for 
New Data Types 
Velocity, Volume, Variety, Value 
Next Wave of Self- 
Service Analytics 
Beyond Business Analysts
A Spectrum of Big Data Use Cases 
What the Market is Deploying Today and Planning for Tomorrow 
Entry 
Transform 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 14 +1 (866) 660-7555 
Advanced 
Optimize 
Data 
Warehouse 
Optimization 
Streamlined 
Data 
Refinery 
Big Data 
Exploration 
Customer 
360 Degree 
View 
Harnessing 
Machine & 
Sensor Data 
Next 
Generation 
Applications 
Internal Big 
Data as a 
Service 
On-Demand 
Big Data 
Blending 
Big Data 
Predictive 
Analytics 
Use Case Complexity 
Business Impact
Granular HLS Use Case Categories 
Pa'ent 
360° 
• Enhanced 
pa<ent 
experience 
& 
support 
• 
Pa<ent 
profiling 
• Op<mized 
care 
path 
Supply 
op'miza'on 
• Manufacturing 
process 
efficiency 
• Drug 
Trail 
Analy<cs 
• Supplier/merchant 
performance 
management 
Cost 
Reduc'on 
• 
DWO 
• 
Remove 
Legacy 
Vendors 
/ 
costs 
• Care 
op<miza<on 
– 
home 
, 
hospital 
, 
palla<ve 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 15 +1 (866) 660-7555 
Risk 
Compliance 
• Regulatory 
compliance 
(reten<on, 
privacy 
HIPPA) 
• Usage 
analysis 
and 
media<on 
management 
• Compliance 
breach 
• Protocol 
Analy<cs 
Market 
intelligence 
• Compe<<ve 
analysis 
• Economic 
factor 
analysis 
• Pa<ent 
segmenta<on 
Data 
as 
a 
product 
• Anonymized 
care 
paths 
• Data 
enriched 
with 
insights/inferences
The strength of Pentaho 
lies in the power of combination 
Data 
integration 
Big data +Any data 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 16 +1 (866) 660-7555 
Business 
+analytics 
The IT 
department 
Lines of 
+business 
Any data. Any environment. Any analytics.
A future-proof 
data foundation 
Big data blended 
without barriers 
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 17 +1 (866) 660-7555 
Powerful analytics 
simplified for any role

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Improving the Business of Healthcare through Better Analytics

  • 1. Improving the Business of Healthcare through Better Analytics PING ZHANG July 2, 2014 CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 1
  • 2. Our Healthcare Challenges “…we spend more on healthcare than the next 10 biggest spenders combined: Japan, Germany, France, China, the U.K., Italy, Canada, Brazil, Spain and Australia. We may be shocked at the $60 billion price tag for cleaning up aJer Hurricane Sandy. We spent almost that much last week on health care.” § US Has Highest Health Care Costs, Worst Outcome Among Civilized Na<ons CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 2
  • 3. Big data = $300+ Billion/year in US Healthcare CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 3
  • 4. What impact is big data making in healthcare? BIG z z DATA z z Medicaid z z Labs z z Payers zzz z z zz z zz z HIE Clinics ü Discover & prevent wastes and quality issues ü Redesign healthcare: heal the sick patient -> keep the public healthy ü Expedite discovery of new drugs, medical device & methods CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 4
  • 5. 10,000+ DATA FEEDS 10K+ incoming daily data feeds. 21+ BILLION 21+ billion discrete episodic accounts MedeAnalytics By The Numbers 32+ MILLION representing 32+ million covered lives/ members 300+ TERABYTES manage 300+ TB of data ü The 1st cloud-based healthcare data analytics solution since 2001 ü Over 900 hospital and payer clients in the US and UK ü The 1st healthcare big data analytics solution powered by HP Vertica CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 5
  • 6. COST REVENUE COST REVENUE QUALITY RISK RISK Financial and Clinical Performance QUALITY - Enterprise Risk Analytics - Population Stratification - Quality Performance - Quality - Cost and Utilization - Service Line Analytics - AR Analytics - Compliance - ICD10 Coding and Benchmarking - Patient Access CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 6
  • 7. MedeAnalytics Solution Suite Providers CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 7 7 Improving financial, operaPonal and clinical outcomes Popula'on Analy'cs ACO & Bundled Payments Network Management Provider Engagement Medical Management & Medicaid Performance Management Popula'on Health Coding and Pa'ent Access Benchmarking Compliance & Revenue Integrity Revenue Cycle One unified plaEorm for Health Plans and Providers Health Plans
  • 8. MedeAnalytics Solution Architecture Batch Data Processing – Daily/Weekly/Monthly Data Loads Data Warehouse (Stage) FTP Server Farm Customer’s HCIS ETL Server Farm Text Files Text Files SQL Data End Users User Driven Analy'cs – Online Web Applica'on Interac'on Key/Value MDX Cached Reports ROLAP SQL User Clicks Logs MedeAnaly'cs BI PlaEorm JSON Switch Data Warehouse (Produc'on) CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 8
  • 9. Pentaho © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 9 +1 (866) 660-7555
  • 10. An architecture for any future, analytics for any data DBA/ETL/BI DEVELOPER BUSINESS USER BUSINESS/DATA ANALYST OPERATIONAL DATA BIG DATA PUBLIC/PRIVATE CLOUDS DATA STREAM SIMPLIFIED ANALYTICS EXPERIENCE BLENDED BIG DATA ENTERPRISE BIG DATA INTEGRATION © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 10 +1 (866) 660-7555
  • 11. WHAT WE DO We enable the modern, big data-driven business Modern, cohesive data integration and business analytics platform • Full spectrum of advanced analytics for all key roles • Embeddable, cloud-ready analytics • Big data blending for analytics in real-time environments • Broadest and deepest big data integration Innovation through open source • Open, pluggable, purpose-built for the future • Early sustained leadership in big data ecosystem with technology innovation Critical mass achieved • Over 1,200 commercial customers • Over 10,000 production deployments © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 11 +1 (866) 660-7555
  • 12. OUR VISION The New Reality: Powerful yet simplified analytics for all users Billing Social Media Location Customer Web Network © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 12 +1 (866) 660-7555 Analytics ANY Analytics • Reports • Dashboards • Visualizations • Discovery • Predictive • Any role Existing & New Data Infrastructure & Processes ANY Environment • Data warehouses • Data marts • Stack vendors • Cloud • Embedded ANY Data • Relational • Operational • Big Data • Data sources not yet anticipated
  • 13. Two key pressure points are disrupting the traditional analytics market On the road to the modern big data driven enterprise Different Audiences View Different Needs © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 13 +1 (866) 660-7555 Easily Interact, Visualize & Explore Blend Data for Comprehensive Effectively Administer, Manage & Deploy Business Managers Business Analysts Data Scientists Admins IT Escalating Need for New Data Types Velocity, Volume, Variety, Value Next Wave of Self- Service Analytics Beyond Business Analysts
  • 14. A Spectrum of Big Data Use Cases What the Market is Deploying Today and Planning for Tomorrow Entry Transform © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 14 +1 (866) 660-7555 Advanced Optimize Data Warehouse Optimization Streamlined Data Refinery Big Data Exploration Customer 360 Degree View Harnessing Machine & Sensor Data Next Generation Applications Internal Big Data as a Service On-Demand Big Data Blending Big Data Predictive Analytics Use Case Complexity Business Impact
  • 15. Granular HLS Use Case Categories Pa'ent 360° • Enhanced pa<ent experience & support • Pa<ent profiling • Op<mized care path Supply op'miza'on • Manufacturing process efficiency • Drug Trail Analy<cs • Supplier/merchant performance management Cost Reduc'on • DWO • Remove Legacy Vendors / costs • Care op<miza<on – home , hospital , palla<ve © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 15 +1 (866) 660-7555 Risk Compliance • Regulatory compliance (reten<on, privacy HIPPA) • Usage analysis and media<on management • Compliance breach • Protocol Analy<cs Market intelligence • Compe<<ve analysis • Economic factor analysis • Pa<ent segmenta<on Data as a product • Anonymized care paths • Data enriched with insights/inferences
  • 16. The strength of Pentaho lies in the power of combination Data integration Big data +Any data © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 16 +1 (866) 660-7555 Business +analytics The IT department Lines of +business Any data. Any environment. Any analytics.
  • 17. A future-proof data foundation Big data blended without barriers © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 17 +1 (866) 660-7555 Powerful analytics simplified for any role