Healthcare

Hospitals, physician practices, Integrated Delivery Networks (IDNs), and the Veterans Health Administration (VHA) deliver most of the healthcare services in America. A "perfect storm" of factors is driving these providers to dramatically improve business processes and operations. These factors include increasing delivery costs, a large number of underinsured or uninsured patients seeking treatment (especially in ER and Urgent Care), and new government regulations penalizing providers for hospital readmission. In such a dynamic and complex environment, providers need a robust, data-driven approach to planning and managing their business. Ayata's Prescriptive Analytics software can help on several fronts:

1. Strategic Planning: When planning long-term capacity (e.g., how many hospital beds to build, when, where, for what type of care), providers have typically relied on historical data and spreadsheets to build forecast models. With Ayata, providers can leverage operational and usage data along with external factors (e.g., competitor activity, local econometric data, population growth, population health, demographics) to more accurately plan for future capital investments such as new equipment, existing facility expansion, and new facility development. In addition, Ayata can help assess the impact of these decisions on other aspects of the business (e.g., impact of adding beds in one hospital on a nearby hospital).
2. Provider-Payer Negotiations: Providers can improve their negotiating position with health insurers by developing a robust understanding of future service utilization. By accurately predicting utilization, providers can also better allocate personnel.
3. Cost and Service Management: Accountable Care Organizations (ACOs) are shifting the industry's focus from reimbursement for providing services to compensation for delivering outcomes. Prescriptive Analytics is an invaluable tool in proactively managing a variety of high cost drivers (e.g., "frequent flyer” patients who misuse ambulatory services and emergency departments).
4. Telehealth: According to a recent study, 48% of the U.S. population will have one or more chronic conditions by 2020. By managing chronic conditions at the patient's home, the cost of treatment declines substantially. Ayata's Prescriptive Analytics software can help providers and/or payer organizations identify the best candidates for Telehealth services by combining patient data (from insurance claims, lab results, hospital information systems, pharmacies etc.) with external data.

Contact us to see how Ayata software can help your healthcare organization improve patient outcomes while managing costs.