SlideShare une entreprise Scribd logo
1  sur  1
Télécharger pour lire hors ligne
Advanced analytics playing a vital role for health insurers
Customer behavior is a complex subject that affects the
insurance industry in fundamental ways, from product
development, marketing and distribution to inforce
management, financial reporting, and risk management.
Insurance industry is using advanced analytical techniques
to better understand customers. However the gap is
beginning to narrow as more and more insurance
companies are realizing the benefits of using advanced
analytics for designing products, segmenting and
developing metrics for risk management. Furthermore,
advanced analytics have given birth to a host of new and
emerging technologies that are radically different from legacy technologies that most insurance companies use
today. For example, in-memory technology makes it possible to run queries in minutes instead of hours and
natural language processing serves as a more targeted, semantically –based complement to pure statistical
analysis.
The overall effect of these developments will be greater depth and breadth of analytics talent throughout
organizations, significant improvements in management processes, and new products that deliver greater value
to customers and to society. According to a recent McKinsey report a new wave of innovation and applications
of advanced analytics is emerging in all types of product lines and business functions. Additionally in a market
report, conducted by Chilmark Research, describes that healthcare organizations of all sizes are now
transitioning to new models of reimbursement, and are facing an influx of clinical data via newly deployed EHR
sources. They understand that they must now harness new clinical data sources, but find themselves lacking in
IT resources with a deep understanding of clinical data integration and analytics.
Healthcare organizations are looking more toward predictive analytics techniques, which take an
understanding of the past to predict future activities and model scenarios using simulation and forecasting. For
example, analytics can enable the compilation of information about trends, patterns, deviations, anomalies and
relationships and reveal insight.
Frost & Sullivan, projects the usage of advanced health data analytics solutions in hospitals will increase from
10 percent adoption in 2011 to 50 percent adoption by 2016, representing a 37.9 percent compound annual
growth rate and a 400 percent uptick in baseline.
The challenge for health insurers lies in infrastructure. As they start integrating platforms to capture more data,
many find that healthcare systems and connectivity are fragmented. A lack of infrastructure to capture data is
the biggest challenge for most people. In an industry that has been largely dominated by paper-based
transactions, electronic documents are still evolving. According to a recent E&Y survey report: In India, the
market for online life insurance is expected to increase from approximately INR2b in 2013 to INR80b by 2020.
With the above facts I would like to share a recent end-to-end BI solution using Informatica and Tableau that
we have implemented for a leading health insurance firm. They required a scalable BI data model to support
their current ERP migration. Accessibility of reports developed and maintained was critical. The department
was in search of an effective front-end tool that has powerful visual analysis features. Developed reporting
/visualization solution using Tableau that improved customer experience across all touch points. Some of the
benefits with the solution implemented include improved efficiency of claims and underwriting operations,
helped investigating claim patterns to detect probable fraud. Reduced the cost of managing data across the
enterprise and eliminated 20% of legacy reports .
Source: http://bit.ly/1dJS4hE

Contenu connexe

Tendances

mHealth Israel_Levi Shapirosrael digital health overview
mHealth Israel_Levi Shapirosrael digital health overviewmHealth Israel_Levi Shapirosrael digital health overview
mHealth Israel_Levi Shapirosrael digital health overview
Levi Shapiro
 
OPY-150702_BigData_Healthcare_070915
OPY-150702_BigData_Healthcare_070915OPY-150702_BigData_Healthcare_070915
OPY-150702_BigData_Healthcare_070915
Ravi Sripada
 
IT in Healthcare_2016 Research Agenda
IT in Healthcare_2016 Research AgendaIT in Healthcare_2016 Research Agenda
IT in Healthcare_2016 Research Agenda
Neal Tilbury
 

Tendances (20)

The True Meaning of AI: Action & Insight
The True Meaning of AI: Action & InsightThe True Meaning of AI: Action & Insight
The True Meaning of AI: Action & Insight
 
IoHT Tatiana Abreu
IoHT Tatiana AbreuIoHT Tatiana Abreu
IoHT Tatiana Abreu
 
Information Management Strategy to power Big Data
Information Management Strategy to power Big DataInformation Management Strategy to power Big Data
Information Management Strategy to power Big Data
 
Faster and Cheaper Clinical Trials: The Benefit of Synthetic Data
Faster and Cheaper Clinical Trials: The Benefit of Synthetic DataFaster and Cheaper Clinical Trials: The Benefit of Synthetic Data
Faster and Cheaper Clinical Trials: The Benefit of Synthetic Data
 
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: Interoperability
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: Interoperability3 Ways Imaging Platforms Empower Your Enterprise - Part 2: Interoperability
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: Interoperability
 
Digital Outlook: Healthcare Industry
Digital Outlook: Healthcare IndustryDigital Outlook: Healthcare Industry
Digital Outlook: Healthcare Industry
 
The New CIO Mandate in Life Sciences
The New CIO Mandate in Life SciencesThe New CIO Mandate in Life Sciences
The New CIO Mandate in Life Sciences
 
mHealth Israel_Levi Shapirosrael digital health overview
mHealth Israel_Levi Shapirosrael digital health overviewmHealth Israel_Levi Shapirosrael digital health overview
mHealth Israel_Levi Shapirosrael digital health overview
 
INFOGRAPHIC: Big Data Alchemy
INFOGRAPHIC: Big Data AlchemyINFOGRAPHIC: Big Data Alchemy
INFOGRAPHIC: Big Data Alchemy
 
The dawn-of-data-driven-healthcare
The dawn-of-data-driven-healthcareThe dawn-of-data-driven-healthcare
The dawn-of-data-driven-healthcare
 
Data-driven Healthcare for Payers
Data-driven Healthcare for PayersData-driven Healthcare for Payers
Data-driven Healthcare for Payers
 
RPA in Healthcare
RPA in HealthcareRPA in Healthcare
RPA in Healthcare
 
Utilities Can Ramp Up CX with a Customer Data Platform
Utilities Can Ramp Up CX with a Customer Data PlatformUtilities Can Ramp Up CX with a Customer Data Platform
Utilities Can Ramp Up CX with a Customer Data Platform
 
mHealth Israel_Levi Shapiro_Israel Digital Health Overview
mHealth Israel_Levi Shapiro_Israel Digital Health Overview mHealth Israel_Levi Shapiro_Israel Digital Health Overview
mHealth Israel_Levi Shapiro_Israel Digital Health Overview
 
Healthcare Rx: The Rise of the Empowered Consumer
Healthcare Rx: The Rise of the Empowered ConsumerHealthcare Rx: The Rise of the Empowered Consumer
Healthcare Rx: The Rise of the Empowered Consumer
 
Data Visualization Report
Data Visualization Report Data Visualization Report
Data Visualization Report
 
OPY-150702_BigData_Healthcare_070915
OPY-150702_BigData_Healthcare_070915OPY-150702_BigData_Healthcare_070915
OPY-150702_BigData_Healthcare_070915
 
The Work Ahead in Insurance: Vying for Digital Supremacy
The Work Ahead in Insurance: Vying for Digital SupremacyThe Work Ahead in Insurance: Vying for Digital Supremacy
The Work Ahead in Insurance: Vying for Digital Supremacy
 
Digitally Transforming Patient and Caregiver Experiences
Digitally Transforming Patient and Caregiver ExperiencesDigitally Transforming Patient and Caregiver Experiences
Digitally Transforming Patient and Caregiver Experiences
 
IT in Healthcare_2016 Research Agenda
IT in Healthcare_2016 Research AgendaIT in Healthcare_2016 Research Agenda
IT in Healthcare_2016 Research Agenda
 

En vedette

En vedette (6)

Bodhtree Corporate Overview
Bodhtree Corporate OverviewBodhtree Corporate Overview
Bodhtree Corporate Overview
 
Bodhtree salesforce.com consulting_partner
Bodhtree salesforce.com consulting_partnerBodhtree salesforce.com consulting_partner
Bodhtree salesforce.com consulting_partner
 
Capital One's Next Generation Decision in less than 2 ms
Capital One's Next Generation Decision in less than 2 msCapital One's Next Generation Decision in less than 2 ms
Capital One's Next Generation Decision in less than 2 ms
 
Big Data in Financial Services: How to Improve Performance with Data-Driven D...
Big Data in Financial Services: How to Improve Performance with Data-Driven D...Big Data in Financial Services: How to Improve Performance with Data-Driven D...
Big Data in Financial Services: How to Improve Performance with Data-Driven D...
 
Leveraging Kafka for Big Data in Real Time Bidding, Analytics, ML & Campaign ...
Leveraging Kafka for Big Data in Real Time Bidding, Analytics, ML & Campaign ...Leveraging Kafka for Big Data in Real Time Bidding, Analytics, ML & Campaign ...
Leveraging Kafka for Big Data in Real Time Bidding, Analytics, ML & Campaign ...
 
Architectual Comparison of Apache Apex and Spark Streaming
Architectual Comparison of Apache Apex and Spark StreamingArchitectual Comparison of Apache Apex and Spark Streaming
Architectual Comparison of Apache Apex and Spark Streaming
 

Similaire à Advanced analytics playing a vital role for health insurers

CS309A Final Paper_KM_DD
CS309A Final Paper_KM_DDCS309A Final Paper_KM_DD
CS309A Final Paper_KM_DD
David Darrough
 
Widening Technology Gap
Widening Technology GapWidening Technology Gap
Widening Technology Gap
Nicholas Free
 
CHAPTER9Business Intelligenceand AnalyticsSergey N
CHAPTER9Business Intelligenceand AnalyticsSergey NCHAPTER9Business Intelligenceand AnalyticsSergey N
CHAPTER9Business Intelligenceand AnalyticsSergey N
JinElias52
 
Big_data_analytics_for_life_insurers_published
Big_data_analytics_for_life_insurers_publishedBig_data_analytics_for_life_insurers_published
Big_data_analytics_for_life_insurers_published
Shradha Verma
 

Similaire à Advanced analytics playing a vital role for health insurers (20)

CS309A Final Paper_KM_DD
CS309A Final Paper_KM_DDCS309A Final Paper_KM_DD
CS309A Final Paper_KM_DD
 
Healthcare Digital Transformation - Outlook and recommendations for 2019
Healthcare Digital Transformation - Outlook and recommendations for 2019Healthcare Digital Transformation - Outlook and recommendations for 2019
Healthcare Digital Transformation - Outlook and recommendations for 2019
 
Modernizing Insurance Data to Drive Intelligent Decisions
Modernizing Insurance Data to Drive Intelligent DecisionsModernizing Insurance Data to Drive Intelligent Decisions
Modernizing Insurance Data to Drive Intelligent Decisions
 
Use Cases - Healthcare & Banking.pptx
Use Cases - Healthcare & Banking.pptxUse Cases - Healthcare & Banking.pptx
Use Cases - Healthcare & Banking.pptx
 
Professionalising Data Analytics and Artificial Intelligence
Professionalising Data Analytics and Artificial IntelligenceProfessionalising Data Analytics and Artificial Intelligence
Professionalising Data Analytics and Artificial Intelligence
 
SMAC effect on Healthcare
SMAC effect on HealthcareSMAC effect on Healthcare
SMAC effect on Healthcare
 
4 Digital Health Trends Affecting Your Revenue Cycle
4 Digital Health Trends Affecting Your Revenue Cycle4 Digital Health Trends Affecting Your Revenue Cycle
4 Digital Health Trends Affecting Your Revenue Cycle
 
What is the role of predictive analytics in life sciences
What is the role of predictive analytics in life sciencesWhat is the role of predictive analytics in life sciences
What is the role of predictive analytics in life sciences
 
Widening Technology Gap
Widening Technology GapWidening Technology Gap
Widening Technology Gap
 
Harnessing the data exhaust stream: Changing the way the insurance game is pl...
Harnessing the data exhaust stream: Changing the way the insurance game is pl...Harnessing the data exhaust stream: Changing the way the insurance game is pl...
Harnessing the data exhaust stream: Changing the way the insurance game is pl...
 
Harnessing the data exhaust stream: Changing the way the insurance game is pl...
Harnessing the data exhaust stream: Changing the way the insurance game is pl...Harnessing the data exhaust stream: Changing the way the insurance game is pl...
Harnessing the data exhaust stream: Changing the way the insurance game is pl...
 
Technologies that will change The Future of Healthcare
Technologies that will change The Future of Healthcare Technologies that will change The Future of Healthcare
Technologies that will change The Future of Healthcare
 
CHAPTER9Business Intelligenceand AnalyticsSergey N
CHAPTER9Business Intelligenceand AnalyticsSergey NCHAPTER9Business Intelligenceand AnalyticsSergey N
CHAPTER9Business Intelligenceand AnalyticsSergey N
 
Healthcare Technology Predictions 2016
Healthcare Technology Predictions 2016Healthcare Technology Predictions 2016
Healthcare Technology Predictions 2016
 
Big data
Big dataBig data
Big data
 
ICE-B.pptx
ICE-B.pptxICE-B.pptx
ICE-B.pptx
 
Big data analytics for life insurers
Big data analytics for life insurersBig data analytics for life insurers
Big data analytics for life insurers
 
Big_data_analytics_for_life_insurers_published
Big_data_analytics_for_life_insurers_publishedBig_data_analytics_for_life_insurers_published
Big_data_analytics_for_life_insurers_published
 
Digitization and organizational change 121918
Digitization and organizational change 121918Digitization and organizational change 121918
Digitization and organizational change 121918
 
The Work Ahead in Healthcare: Digital Delivers at the Frontlines of Care
The Work Ahead in Healthcare: Digital Delivers at the Frontlines of CareThe Work Ahead in Healthcare: Digital Delivers at the Frontlines of Care
The Work Ahead in Healthcare: Digital Delivers at the Frontlines of Care
 

Plus de Bodhtree

Potential link between digital adoption and business growth
Potential link between digital adoption and business growthPotential link between digital adoption and business growth
Potential link between digital adoption and business growth
Bodhtree
 
Change is the only constant
Change is the only constantChange is the only constant
Change is the only constant
Bodhtree
 
Balance your Supply Chain with Big Data
Balance your Supply Chain with Big DataBalance your Supply Chain with Big Data
Balance your Supply Chain with Big Data
Bodhtree
 

Plus de Bodhtree (12)

Potential link between digital adoption and business growth
Potential link between digital adoption and business growthPotential link between digital adoption and business growth
Potential link between digital adoption and business growth
 
Bodhtree workforce productivity_improvement_solution
Bodhtree workforce productivity_improvement_solutionBodhtree workforce productivity_improvement_solution
Bodhtree workforce productivity_improvement_solution
 
Bodhtree executive management_program_tracking_solution
Bodhtree executive management_program_tracking_solutionBodhtree executive management_program_tracking_solution
Bodhtree executive management_program_tracking_solution
 
Bodhtree key account_planning_solution
Bodhtree key account_planning_solutionBodhtree key account_planning_solution
Bodhtree key account_planning_solution
 
Bodhtree cloud geotagging_solution
Bodhtree cloud geotagging_solutionBodhtree cloud geotagging_solution
Bodhtree cloud geotagging_solution
 
Bodhtree healthcare payer solutions
Bodhtree healthcare payer solutionsBodhtree healthcare payer solutions
Bodhtree healthcare payer solutions
 
Tele health startup case study
Tele health startup case studyTele health startup case study
Tele health startup case study
 
How unused Big Data turns into Big Value
How unused Big Data turns into Big ValueHow unused Big Data turns into Big Value
How unused Big Data turns into Big Value
 
Change is the only constant
Change is the only constantChange is the only constant
Change is the only constant
 
Balance your Supply Chain with Big Data
Balance your Supply Chain with Big DataBalance your Supply Chain with Big Data
Balance your Supply Chain with Big Data
 
Business Analytics from Bodhtree
Business Analytics from BodhtreeBusiness Analytics from Bodhtree
Business Analytics from Bodhtree
 
Bodhtree Corporate Deck
Bodhtree Corporate DeckBodhtree Corporate Deck
Bodhtree Corporate Deck
 

Dernier

CNv6 Instructor Chapter 6 Quality of Service
CNv6 Instructor Chapter 6 Quality of ServiceCNv6 Instructor Chapter 6 Quality of Service
CNv6 Instructor Chapter 6 Quality of Service
giselly40
 
Histor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slideHistor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slide
vu2urc
 

Dernier (20)

Slack Application Development 101 Slides
Slack Application Development 101 SlidesSlack Application Development 101 Slides
Slack Application Development 101 Slides
 
Breaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path MountBreaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path Mount
 
Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...
 
CNv6 Instructor Chapter 6 Quality of Service
CNv6 Instructor Chapter 6 Quality of ServiceCNv6 Instructor Chapter 6 Quality of Service
CNv6 Instructor Chapter 6 Quality of Service
 
The Codex of Business Writing Software for Real-World Solutions 2.pptx
The Codex of Business Writing Software for Real-World Solutions 2.pptxThe Codex of Business Writing Software for Real-World Solutions 2.pptx
The Codex of Business Writing Software for Real-World Solutions 2.pptx
 
A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)
 
Histor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slideHistor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slide
 
Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024
 
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
 
A Call to Action for Generative AI in 2024
A Call to Action for Generative AI in 2024A Call to Action for Generative AI in 2024
A Call to Action for Generative AI in 2024
 
Factors to Consider When Choosing Accounts Payable Services Providers.pptx
Factors to Consider When Choosing Accounts Payable Services Providers.pptxFactors to Consider When Choosing Accounts Payable Services Providers.pptx
Factors to Consider When Choosing Accounts Payable Services Providers.pptx
 
Raspberry Pi 5: Challenges and Solutions in Bringing up an OpenGL/Vulkan Driv...
Raspberry Pi 5: Challenges and Solutions in Bringing up an OpenGL/Vulkan Driv...Raspberry Pi 5: Challenges and Solutions in Bringing up an OpenGL/Vulkan Driv...
Raspberry Pi 5: Challenges and Solutions in Bringing up an OpenGL/Vulkan Driv...
 
🐬 The future of MySQL is Postgres 🐘
🐬  The future of MySQL is Postgres   🐘🐬  The future of MySQL is Postgres   🐘
🐬 The future of MySQL is Postgres 🐘
 
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
 
[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdf[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdf
 
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
 
08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking Men08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking Men
 
Presentation on how to chat with PDF using ChatGPT code interpreter
Presentation on how to chat with PDF using ChatGPT code interpreterPresentation on how to chat with PDF using ChatGPT code interpreter
Presentation on how to chat with PDF using ChatGPT code interpreter
 
Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)
 
Tata AIG General Insurance Company - Insurer Innovation Award 2024
Tata AIG General Insurance Company - Insurer Innovation Award 2024Tata AIG General Insurance Company - Insurer Innovation Award 2024
Tata AIG General Insurance Company - Insurer Innovation Award 2024
 

Advanced analytics playing a vital role for health insurers

  • 1. Advanced analytics playing a vital role for health insurers Customer behavior is a complex subject that affects the insurance industry in fundamental ways, from product development, marketing and distribution to inforce management, financial reporting, and risk management. Insurance industry is using advanced analytical techniques to better understand customers. However the gap is beginning to narrow as more and more insurance companies are realizing the benefits of using advanced analytics for designing products, segmenting and developing metrics for risk management. Furthermore, advanced analytics have given birth to a host of new and emerging technologies that are radically different from legacy technologies that most insurance companies use today. For example, in-memory technology makes it possible to run queries in minutes instead of hours and natural language processing serves as a more targeted, semantically –based complement to pure statistical analysis. The overall effect of these developments will be greater depth and breadth of analytics talent throughout organizations, significant improvements in management processes, and new products that deliver greater value to customers and to society. According to a recent McKinsey report a new wave of innovation and applications of advanced analytics is emerging in all types of product lines and business functions. Additionally in a market report, conducted by Chilmark Research, describes that healthcare organizations of all sizes are now transitioning to new models of reimbursement, and are facing an influx of clinical data via newly deployed EHR sources. They understand that they must now harness new clinical data sources, but find themselves lacking in IT resources with a deep understanding of clinical data integration and analytics. Healthcare organizations are looking more toward predictive analytics techniques, which take an understanding of the past to predict future activities and model scenarios using simulation and forecasting. For example, analytics can enable the compilation of information about trends, patterns, deviations, anomalies and relationships and reveal insight. Frost & Sullivan, projects the usage of advanced health data analytics solutions in hospitals will increase from 10 percent adoption in 2011 to 50 percent adoption by 2016, representing a 37.9 percent compound annual growth rate and a 400 percent uptick in baseline. The challenge for health insurers lies in infrastructure. As they start integrating platforms to capture more data, many find that healthcare systems and connectivity are fragmented. A lack of infrastructure to capture data is the biggest challenge for most people. In an industry that has been largely dominated by paper-based transactions, electronic documents are still evolving. According to a recent E&Y survey report: In India, the market for online life insurance is expected to increase from approximately INR2b in 2013 to INR80b by 2020. With the above facts I would like to share a recent end-to-end BI solution using Informatica and Tableau that we have implemented for a leading health insurance firm. They required a scalable BI data model to support their current ERP migration. Accessibility of reports developed and maintained was critical. The department was in search of an effective front-end tool that has powerful visual analysis features. Developed reporting /visualization solution using Tableau that improved customer experience across all touch points. Some of the benefits with the solution implemented include improved efficiency of claims and underwriting operations, helped investigating claim patterns to detect probable fraud. Reduced the cost of managing data across the enterprise and eliminated 20% of legacy reports . Source: http://bit.ly/1dJS4hE