Tag Archives: Leading healthcare insurance provider

by in Life Scienses & Healthcare

Next Best Action

Leading Healthcare Insurance Provider Problem Statement Healthcare insurance provider has enrolled its plans on Health Insurance Exchange To identify the right program-channel combinations at a member level that can be deployed to make CBC’s member base healthier and more wellness oriented Analytics Led Approach The Universe population was subjected to various exclusion criteria before being […]

by in Life Scienses & Healthcare

Gaps in Coding

Leading healthcare insurance provider Problem Statement To identify any revenue leakage due to gaps in HCC coding and subsequent risk-adjusted payments that are based on each member’s HCCs Business objective was to develop an analytics process to predict any gaps in coding/HCC at each member level to plug any revenue leakage Analytics Led Approach An […]

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