Answering All the Right Questions with All the Right Data

August 14 2018 | by David Hom and Dr. Kevin Keck in Health Analytics

Healthcare providers are accustomed to taking things one day at a time. A patient comes in – and they deal with the presenting ailment and then move on. Under value-based care models, however, they need to look beyond the present and understand a patient’s future, in terms of clinical and financial risk.

5 Ways Comprehensive Data Can Help Employers Move Beyond the Same Old Results

August 09 2018 | by David Hom in Health Analytics

Brokers and consultants often are left to rely on the same set of data (over and over again) when trying to enable clients to improve members’ health as their own financial health. As a result, consultants often find themselves frustrated when they can’t move the needle toward better results.

6 Ways Your Health Plan Can Turn Data Mining into a Powerful Overpayment Recovery Tool

August 02 2018 | by Lalithya Yerramilli in Payment Integrity

Like other consumers, health insurers don’t enjoy feeling the pain that comes with the realization that you’ve paid too much for something. As such, they are known to employ a variety of strategies as part of their overpayment recovery programs.

Next Gen Behavioral Analytics: The How, The What, The Challenges

July 31 2018 | by David Hom in Health Analytics

Employers of all kinds, particularly those who have a high percentage of employees with chronic conditions, often struggle to determine which health benefits will support their efforts to maintain a healthy workforce. Often, employers turn to their benefits brokers to guide them in the right direction. Brokers today leverage advanced analytics that use robust data sets in order to confidently provide data-driven consulting to their employer clients.




Arun Rangamani
SVP, Care Optimization and SCIOXpert Services

Ben Steverman
Chief Technology Officer

Bob Abrahamson
Vice President, Product Management

David Hom
Chief Evangelist

Dr. Kevin Keck
Chief Medical Officer

Jen Cressman
Vice President, Professional Services

John Pagliuca
Vice President, Life Sciences

Jonathan Niloff, MD (Guest Author)
President, Niloff Healthcare Strategies, LLC

Lalithya Yerramilli
Vice President, Analytics

Lesli Adams, MPA (Guest Author)
Director of Population Health Strategy, Oracle Corporation

Leslie Strader
Project Manager

Linda Pantovic (Guest Author)
Director of Compliance & Risk Adjustment, Scripps Health Plan Services

Mark Feeney
Life Sciences Consultant

Monique Pierce
Vice President, Business Optimization

Nayfe Faillace
Chief Compliance & Privacy Officer

Nicole Cormier
Senior Manager, Home Health

Priyanka Rajkumar
VP - SCIOXpert and Solutions, Analytics

Rachel Hall
Senior Business Analyst

Rena Bielinski
SVP, Strategic Accounts

Rodger Smith
SVP, Payment Integrity

Rose Higgins
President, North America

Subha Vaidyanathan
VP, Technology and Data Management

Taryn Bevilacqua
Compliance Director

Tom Peterson
SVP, Risk Adjustment


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