Our Works - Healthcare

Delivering value with Healthcare Analytics and providing deep Insights leveraging Artificial Intelligence
to help reduce costs and provide Quality care with solutions spanning across the healthcare ecosystem.




Solutions

Machine Learning

Oversight and Compliance

Analytics dashboards to measure performance of health plans and hospitals to improve the Quality of Care and enhance public reporting

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Business Analytics

Payers

Big Data Engineering Solutions to gain efficiencies in Interoperability and Analytics to help close coding gaps and care gaps.

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Big Data Engineering

Providers

Revenue Cycle support to improve top line including reducing denials while maintaining the overall care of the patient population.

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Oversight and Compliance

Quality of Care Analytics


Pharma


Improve healthcare research and quality by reporting on AHRQ and CMS measures across different health plans


• Comprehensive HIPPA and FISMA compliant Analytics platform to drive transparency, and accountability of services

• Population Analytics & performance Benchmarking for Managed Care Organizations (MCOs)

HEDIS Benchmark Analytics​


Pharma


Tracking & Bench Marking with HEDIS measures to assess the effectiveness of care


• Insights to improve state level healthcare services alongside patient care and safety.

• Reports and dashboards for STAR ratings comparing multiple health insurance organizations

Potentially Preventable
Events (PPE) Analytics​

Pharma


Contain costs and improve health outcomes by gaining insights into preventable events and take action to reduce them


• Analytics to plot PPE Trends year over year including expenditures, counts, rates, AE Ratio etc.

• Breakdown of institutional expenditures between PPE and non-PPE related costs

Potentially Preventable
Admissions (PPA)

Pharma


PPAs are preventable admissions for both in-patient as well as Emergency Department visits.


• Inpatient admission that can be prevented or managed with better ambulatory care

• Insights from historical claims data to classify patients into right Clinical Risk Groups (CRGs), which describe the chronic illness burden of a patient

Potentially Preventable
Re-admissions (PPR)​

Pharma


Improve Quality of Care by analyzing PPRs since they may reflect poor clinical care and coordination of services during hospitalization or post discharge period


• PPR readmission is defined as a return hospitalization to an acute care hospital that follows a prior acute care admission within a specified time interval

• Inpatient re-admission within a defined readmission time interval (eg: within 30 days of hospitalization)

Potentially Preventable Complications (PPC)​

Pharma


Minimize PPCs which represent negative outcomes resulting from processes of care and treatment rather than from natural progression of underlying disease


• PPCs are in-hospital complications that are not present on admission but result from treatment during the inpatient stay.

• Increased costs resulting from complications are passed on to payers by increasing Diagnosis Related Group (DRG) payment.

Potentially Preventable
Emergency Visits (PPV)​

Pharma


Analytics to reduce Emergency department visits that could have been prevented or managed with better access to care or ambulatory care coordination

• Identify candidate events based on Enhanced Ambulatory Patient Groups (EAPG)

• A significant portion of the care services use can be attributed to the provision of unnecessary care in emergency department visit

Pay for Performance (P4P)​​


Pharma


Analytics on Pay for Performance measures with dashboards for self-performance and against benchmark

• Health plan performance with rollup by category and details by at-risk measures and bonus pool

• Provide input into enhancing the reward program by providing transformant outcomes

fHealthcare Economics

Dental Plan Performance Analytics​


Pharma


Track DMOs (Dental Managed Care Organization) effectiveness of care provided to patients

• Evaluate and assess dental plan performance using quality NCQA and DQA quality Measures

• Help Improve state level dental care services along with the preventive care.

Payers

Intuceo-Ix for Medical
Records Insights

Pharma


360-degree view into Patient health. The solution provides a Unified view of Patient Information by linking data from disparate sources

• Intelligent mining of data across medical records, claims, social factors and home care from multiple sources

• Empower care teams by improving operational and cost efficiencies to spend more time on providing care

Healthcare Economics


Pharma


Integrating complex healthcare data into a single source of truth for labor health funds and other
self-funded employers, payers and providers.

• Enable administrators to monitor financial, utilization and quality trends and identify actionable areas for improvement.

• Analytics for Member Eligibility, High Cost Claimants and Finance summary

Member Enrollment


Pharma


Big Data Engineering solution for Member enrollment information transmitted from a variety of sources and systems

• Real time Streaming technology to improve the enrolment process

• System built for millions of enrolments with speed and agility

High Utilizers

Pharma


Insights into Super Utilizers and their impact on cost and burden on the healthcare system

• Super utilizers have a disproportionate number of inpatient admissions or Emergency Department visits to a hospital.

• Vulnerable populations with complex social components, high behavioral health needs, and multiple chronic conditions.

Hospital Performance: PPR

Pharma


Potentially Preventable Readmissions (PPRs) are an indicator of quality of care because they may reflect poor clinical care and poor coordination of services either during hospitalization or in the immediate post discharge period

• Analytics for PPR Admissions, At-Risk Admissions, PPR Rate, Average Patient stay, Average PPR expenditures by demographics, payer type etc.

Hospital Performance: PPC

Pharma


Potentially Preventable Complications (PPCs) are
in-hospital complications that are not present on admission but result from treatment during the inpatient stay.

• Analytics for PPC Admissions, At-Risk Admissions, PPC Rate, Average Patient stay, average PPC expenditures by demographics, payer type etc.

Providers

Revenue Cycle Management

Pharma


Saving costs and identifying payments for processing by reducing coding errors

• Insights into likelihood of claims denial based on human actions throughout revenue cycle

• Recommendations for corrective actions by predicting the expected financial value of different corrected claims and claims error categories

Claims Analytics

Pharma


Eliminate inefficiencies and errors in reconciliation of claims data

• Support for Audits – AHCA, PCP Payment Increase, HEDIS etc.

• Finance and Reconciliation reports for Utilization, medical loss ratio and threshold reports, Premium Reconciliation Report, Check Register Report against Claims Accuracy Report

Encounter Data Validation

Pharma


Validation tool to identify discrepancies in health care services provided and claims submitted

• Easy to follow interface for Medical Records reviewer and approvers

• Crosschecking the claims data and medical records to help recover additional monies and minimize audit exceptions

Diabetes Care Management

Pharma


Predicting the blood glucose level bucket of the individual by using advanced analytics and Machine Learning

• Extraction patterns explaining the causes for high/low blood glucose levels

• Insights into reasons for high variance in glucose levels on certain days of the week

Are you looking for data science solutions in Healthcare?

What Our Clients Say

Heka

"What we love about Intuceo is their enviable workforce who is very passionate about partners success, showcasing the true meaning of a great synergy. The team has quickly learned the intricacies of Healthcare domain and has provided fantastic solutions. Highly recommend them."

Prashanthi Manchukonda
Pro Unlimited

"We really value our long-term relationship with iCube. In addition to the quality of work, a key advantage of partnering with iCube is the governance by the management team. Whenever we had a challenge or opportunity, iCube was a professional, competent partner. I recommend them."

Ted H Sergott
UF

"The University of Florida Institute for Child Health Policy has worked closely with Intuceo for over two years in developing online portals for visualizing health care data. Intuceo has been exceptional with the planning, design, and execution of our portal development. Their developers are talented, professional, and work to understand our needs throughout the entire development process."

Deepa Ranka
Heka

"What we love about Intuceo is their enviable workforce who is very passionate about partners success, showcasing the true meaning of a great synergy. The team has quickly learned the intricacies of Healthcare domain and has provided fantastic solutions. Highly recommend them."

Prashanthi Manchukonda
Pro Unlimited

"We really value our long-term relationship with iCube. In addition to the quality of work, a key advantage of partnering with iCube is the governance by the management team. Whenever we had a challenge or opportunity, iCube was a professional, competent partner. I recommend them."

Ted H Sergott
UF

"The University of Florida Institute for Child Health Policy has worked closely with Intuceo for over two years in developing online portals for visualizing health care data. Intuceo has been exceptional with the planning, design, and execution of our portal development. Their developers are talented, professional, and work to understand our needs throughout the entire development process."

Deepa Ranka

Want to speak with an Intuceo Expert?