Gaining key business insights ensures that the right people receive the right healthcare now and in the future.

With the financial decline of 2008 adversely affecting most sectors of the economy, the healthcare industry is feeling the wake of the economic turbulence. Health plan profitability is down, largely due to investment losses, and employers are aggressively seeking ways to control costs. Across the industry, organizations are being challenged to do more with less, and eliminate programs that cannot demonstrate a solid return on investment.

Matthew McGinnis, senior director of Healthways’ Center for Health Research, saw the challenge even before last year’s economic downturn. “Eventually, we might have fewer resources available relative to our membership,” said McGinnis last April. “So, the ability to zero-in on the right people at the right time will be even more critical in the next 10 years than it was in the last 10 years.”

Of course, the key to achieving that goal is having the right insight into the business to guide decision making. Business analytics, and particularly predictive modeling, provide the opportunity to be proactive in investment evaluation, detection of opportunities for savings, and in becoming more intelligent about processes across a host of subject areas housed inside a typical health plan.

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Predicting Healthy Outcomes- a Health Management Technology article.pdf