| | December 201519CIOReviewDataSmart SolutionsReducing Healthcare Costs through Predictive AnalyticsAs digitization is taking over the world, data continues to climb the ladder of importance to im-prove efficiency of companies across vari-ous industries. Data integration technol-ogy, hence, is becoming a booming space with various new trends around data ana-lytics now cropping up. DataSmart Solu-tions (DSS), with over twenty one years of experience in data aggregation, machine-learning, and benefit plans, provides to employers, carriers, and organizations the necessary tools to seamlessly integrate and analyze healthcare data in a timely and valuable manner. By integrating data coming from numerous sources in differ-ent types, formats, timing, and accuracy, DSS helps employers remain relevant in this rapidly evolving space by incorporat-ing newer data elements, apart from the traditional claims information, into their algorithms. As healthcare in the U.S. is moving towards having more transparency and accountability, the importance of data to heed that shift is also surging. Moreover, with an increase in convenient healthcare products, like smart wearable devices, there is a greater capability to gather data and disseminate results. "We have estab-lished processes for finding and collecting the critical data elements and for deliver-ing superior analytics in a speedy man-ner," says Jonathan Prince, CEO, Data-Smart Solutions. "Accuracy" and "speed", claims Prince, are the qualities that guide their engineering arm and produce the ser-vices they deliver. Through their compre-hensive healthcare data analytics, employ-ers are able to shift from merely collecting the information to compiling and analyz-ing it to drive valuable results.DSS's Clinical Solution Platform (CSP) provides clients with superior abil-ity to risk-score their employee population by assimilating available health and finan-cial data sources into a central resource, facilitating informed and strategic deci-sion making. "We lead the healthcare in-dustry in helping clients identify those em-ployees who are most likely to become the highest cost claimants in the next twelve months," remarks Prince. As most of these claimants are not repeats from the previ-ous year, identifying prospective health risk employees from claims data alone is insufficient. "In fact, biometrics, vision, and health risk assessment information ­ things like Body Mass Index (BMI), blood pressure, and lab results ­ can prove to be a more valuable predictor than past medical claims data," Prince notes. Once having prioritized a population by risk, employers can focus their resources by applying early intervention to the highest priority cases, thus significantly improving the health of plan members and their bottom line.The company has built relation-ships and data pipelines to gather, com-pile, and analyze medical data that en-able employers to make decisions which leads to significant return on investment (ROI). Their industry-focused products have helped customers meet their unique needs, having served entities ranging in size from large to small, including state governments, trade associations, and tiny local restaurants. This is illustrated by the significant savings virtually all of DataSmart's clients realize when com-pared to national healthcare cost aver-ages. Through superior data aggregation and integration, DataSmart Solutions also analyzes alternative pharmacy ben-efit management (PBM) programs and optimizes benefit plan designs to prevent unnecessary expenditures and provider utilization. Customers monitor their high risk members for more efficient case management. DSS, with its predictive analytics ca-pabilities, has been able to combine sta-tistically-beneficial non-claims data and historical claims information to produce powerful tools that detect near-term high-risk claimants. Focusing on improving their analytics by continuously review-ing new data elements with potential sta-tistical lift, DataSmart Solutions is well poised for a significant improvement in the modeling power and risk scoring abil-ity which they deliver to their clients. We lead the healthcare industry in helping clients identify those employees who are most likely to become the highest cost claimantsJonathan Prince
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