Health Plans and TPA's
The national health care landscape has shifted across the last five years, and cost explosions have motivated Employers to question the value of Health Plan/TPA partnerships; splinter services; and look to new models and players in the health market. Health Plans are under pressure to demonstrate their value. In response, Plans are overemphasizing data infrastructure projects, and under-emphasizing initiatives that make the data more usable. Dynamic, accessible, and consultative reporting packages help Insurers answer these market demands and forge stronger client relationships.
We help Health Plans and TPAs get control of their data and clearly communicate integrated results to their Plan Sponsors. Our clients develop reporting capabilities that integrate all aspects of their Plan’s performance--highlighting the value proposition that their company provides—for more compelling, consultative relationships with their customers.
Why should you consider rethinking your Account reporting strategy?
- How well do you communicate your full value to your Accounts?
- Do your reports tell your Accounts how to drive ongoing performance improvement?
- Do your reports highlight opportunities for additional sales?
- Do your reports add value by supporting a consultative dialogue with your clients?
We also build the infrastructure that supports the ongoing development of meaningful reports--including state-of-the-industry report templates, efficient report production, and ongoing process improvements.
Products and Services for Health Insurers
Lumen — Report Production and On-line Report Editing Tools:
Lumen is an innovative web-based product that integrates health data from multiple sources and returns content-rich, visually accessible communications in the form of customized reports. Zenger Analytics uses a revolutionary, efficient approach to data acquisition and integration. We work with your existing IT infrastructure and extract aggregated health data at the level at which it needs to be reported (e.g., client or client segment). We avoid the cost and effort of building a centralized data repository and avoid the privacy and security issues that come with collecting personal health information (PHI).
Lumen was built specifically to integrate all data sources – including non-traditional data sources – and allows even small companies to provide data output that has been exclusively controlled by large-enterprise data warehouses. Lumen’s wiki-style collaborative tool, combined with automated libraries of consultative content, allows Account teams to customize the narrative text that is included in each report. Action lists are automatically generated for the Insurers, Accounts, and Consultants creating stronger opportunities for data-driven analysis as well as data-driven decision-making. The end result is a report that effectively communicates the full value of your benefit program.
Click here for more information on Lumen.
Consulting on Informatics and Business Intelligence Solutions
We consult to Health Plans on business intelligence solutions. Our consultants understand the value of health data and work with our clients to become more competitive through analytics. Consulting engagements include:
- Data optimization projects
- Analytic methodology development
- Organizational design to support business intelligence
Report Design
We design content-rich, visually-appealing integrated reporting packages that satisfy your customers' growing demands for detailed reporting. This is where business intelligence and analytic presentation are joined at the hip. Our report designs are tasked with communicating key story lines mined from extremely complex datasets; we know all about the data as well as how the get those stories through to the recipient. We understand where the reader's eyes are drawn on a particular report page, how to lead the reader to the most important information, and how much information can be loaded into a page before the reader hits overload. We are equally comfortable with data technology and data knowledge (coding and data idiosyncrasies).
We direct your organization in developing and using a sophisticated reporting approach that integrates all the available data from various systems in your organization including:
- Financial
- Cost and utilization
- Care Management (DM, UM, CM)
- Clinical
- Wellness
- Population Risk
- Productivity
- Expert analysis and interpretation
- Key finding and targeted recommendations
Data Assessments
We assess existing data sources and help our clients as they cross the chasm between their current IT infrastructures to more integrated business intelligence.
Report Production Processes
We leverage existing data assets and reporting tools to build efficient report production processes. Zenger Analytics assists health plans design their information and technology infrastructures to be more efficient in reporting.
Training
A Plan’s value proposition is often communicated through its account reports and those who deliver them. Analytic staffs that are comfortable discussing benefit plan performance measures and metrics on the account reports are more valuable to, and form stronger partnerships with their Accounts. Zenger Analytics’ training programs are designed with the primary objective of developing analytic and consultative skills, and with an emphasis on facilitating strong report acumen and delivery.
Click here for several samples of our training materials.