Improving the Business of Healthcare through Better Analytics

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Improving the Business of Healthcare through Better Analytics

  1. 1. Improving the Business of Healthcare through Better Analytics PING ZHANG July 2, 2014 CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 1
  2. 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. 3. Big data = $300+ Billion/year in US Healthcare CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 3
  4. 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. 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. 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. 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. 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. 9. Pentaho © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 9 +1 (866) 660-7555
  10. 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. 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. 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. 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. 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. 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. 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. 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

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