Healthcare analytics projects are often constrained by the quality and availability of the underlying data. Many times claims data is the only available source of information for utilization and encounter analytics.
Ten2Eleven has extensive experience in deriving actionable information from claims data and has developed a number of claims analytic systems for healthcare clients. Ten2Eleven approaches these projects by first understanding the business rules and edits imposed by the source systems (typically claims capture or adjudication systems). This is followed by assessing the data quality and consistency of the available claims data, and confirming that project goals can be met with the available data.
Depending on project goals and the client environment, Ten2Eleven will then develop algorithms or statistical models to derive metrics from the claims data. These metrics will be validated with client and business partner staff who are familiar with the underlying data capture process.
Finally, Ten2Eleven will develop interactive dashboards which allow client staff to receive data via push notifications and to interact with the data in order to gain insights into key areas of the business such as operational performance, financial performance, or compliance with therapeutic guidelines.