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Financial Solutions
Employers want better data from their health benefit programs, and see an increasing need to measure and manage the costs and value of those programs. Offering new opportunities to data warehouse managers that can effectively integrate data related to employee conditions, utilization, and outcomes is a prime application of the product.
The product can be used to create customer-specific vocabularies and financial metrics (takes only minutes to define a metric) and that support:
- National and global risk management
- Self-insured and Captive entites with proactive oversite of claims and cases at risk
- Creating Centers of Excellence by diagnosis or treatment
- Building quality of care metrics using the internal "six sigma" vocabulary and metrics
- Creating risk profiles and risk adjustment metrics on people or groups
- Creating signals both financial and clinical that indicate risk of re-admission, death, illness or injury
- Building customized disability or worker's compensation programs
- Creating financial programs for employees to incent them to participate in wellness and disease management programs
- Create wellness and disease management financial incentives
- Rapidly produce custom reports, graphs & charts and SAS tables
- Design and execute your own clinical and financial rules and metrics based on the internal vocabulary of more than 1,000,000 terms
The Health Sciences Universe enterprise software product helps you and your partners capture critical data from providers, payers, devices, patients and their families to measure the results of your success; contact us for a demonstration using the link above.
Perseid Software provides insurers with the integrated care technology required to implement total quality management programs for employers and to build and operate employer clinics.
The Health Sciences Universe™ product provides integration of the clinical and financial risks and has extensive tools for monitoring care to avoid hospitalizations and re-admissions.