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Healthcare analytics for health plans

Measurably better healthcare analytics.

Health Plus Technologies helps health insurers close the gaps between analysts, technologists and business leadership — so every network, underwriting and contracting decision is backed by the right metrics.

Millionsof covered lives modeled by insurer clients
2–3 wkstypical Precidiem implementation
Unlimitedside-by-side pricing scenarios
Experience behind the work
BCBSA analytic data warehouseLed strategy & design
Johns Hopkins ACG® SystemTechnology platform & development
Market-leading HEDIS reportingLed product development
Referenced by Ralph KimballThe Data Warehouse ETL Toolkit
The analytics gap

Are analytics used consistently to make better decisions throughout your health plan?

If not, it’s probably because of communication gaps — or even knowledge gaps — between your analysts, technologists and business leadership.

For health insurance companies, any uncertainty, lack of knowledge or competency gap in informatics is painfully reflected in the execution of strategic business decisions.

We help health plans identify the best metrics and close the gaps that create vulnerability across key business areas.
Provider network management
Underwriting & actuarial
Sales & marketing
Case management
Analyst sketching a claims, risk adjustment and quality metrics data flow

More reimbursement modeling power than any application on the market today.

Precidiem predicts the cost impact of proposed hospital and physician reimbursement contracts — before you sign. Model any number of pricing arrangements side-by-side and walk into negotiations knowing exactly where the money goes.

Unlimited side-by-side scenarios

Compare any number of proposed pricing arrangements at once.

Medicare, Medicaid & Commercial

Plus derivatives used in creative contracting arrangements.

Find the root cause

Integrated analytics slice and dice results to expose clause interactions.

Live in two to three weeks

Unlike most analytic systems, Precidiem is implemented fast.

What you can’t see is costing you

The biggest contract costs live below the surface.

When payers negotiate critical contracts, the last thing they want is for the team across the table to have better information. Precidiem answers the questions that spreadsheets can’t.

How often will my stop-loss clause impact costs — and for how much?
What happens if I bundle my carve-outs back into case rates?
What will this contract look like in years two and three?
How frequently am I paying on billed charges vs. a fixed rate?
See all common contract gaps
Core areas of focus

Analytics strategy, software and models — built for payers.

From enterprise data warehouses to purpose-built predictive models, HPT designs solutions for some of the biggest analytic gaps in U.S. health care.

01

Data Warehouse Consulting

Analytic strategy and systems design for healthcare data warehousing — including one of the largest integrated health care data warehouses in the world.

02

Custom Analytic Software

Custom software and models for provider profiling, care management, underwriting, network management, P4P and more.

03

Predictive Reimbursement Modeling

Software and guidance to evaluate reimbursement contracts, predict cost impact, find negotiating opportunities and determine fairness and equity.

How Precidiem works

From claims history to a stronger contract.

Load your claims history

Precidiem works from your own historical claims — the most accurate predictor of how a contract will really pay.

Define pricing arrangements

Fee schedules, per diems, case rates, discounts, stop-loss thresholds, carve-outs and inflation factors.

Model side-by-side

Calculate the impact of every proposal at once and measure the strengths and weaknesses of each.

Negotiate with confidence

Fine-tune clauses to your maximum benefit and predict direct and indirect costs before you sign.

Gary Nissen, President of Health Plus Technologies
Leadership
Years in health insurance software and strategic analytics give Gary a rare view of how properly derived analytics should combine to drive business strategy.
Gary Nissen · President, Health Plus Technologies Meet Gary

See Precidiem on your own claims.

Schedule a live online demonstration with our team. We’ll walk through side-by-side contract scenarios and show how Precidiem surfaces what’s driving cost.