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Clinical and Business Data Analytics for Healthcare Payers

Be it for meeting complex regulatory requirements, or for fraud detection and find ways to manage effectiveness of providing care, Healthcare payers must plan and implement solutions that make secondary use/re-use of data which are already available in various existing systems. The objective of data analysis must not be limited to the regulatory or incentive reason, but beyond for the improved quality of care, mitigating risks and improving profits.

Read this paper to learn the overview of different sources of data, that payer systems can consider, the challenges encountered, opportunities presented and list of some of the common dashboards that payer industry implements. The advancements and proficiency with the recent technologies like Business Intelligence, visualization and Big Data tools supplements this effort positively.

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