Case Studies - The Kinds of Organizations that Use SmartCare®

The Healthcare “industry” is traditionally divided into two halves, the payors, i.e., insurance companies, HMOs, and self-insured employers, and the providers, i.e., hospitals, physicians, and organizations such as IPAs and PHOs. Over the past few decades we have all seen this become an increasingly adversarial relationship, the main issue largely being financial. But they both share the same data. The data that the payors are basing their rates on was given to them by the providers.

For a variety of reasons, historically healthcare data has been surprisingly difficult to analyze. Often payor and provider organizations have invested hundreds of thousands of dollars into decision-support software and even more into data warehouses, only to have to wait for upwards of a year to see the first results. And then find that it takes someone with a PhD. to run a report.

Why couldn’t you work out the differences between multiple data sources in a few weeks, load even the biggest datasets in a few days, process the data in a few hours, and begin seeing results in a few minutes? And not need a PhD. to run a report.

That’s exactly what SmartCare® does.

We at Vantage Point worked at large corporations and tackled some of their thorniest data analysis problems, with data just as complicated as Healthcare's. Healthcare data analysis doesn't have to be the difficult and expensive process for payors it has been in the past. It doesn't have to be out of reach for provider organizations. With the right tools, payors could develop better ways of controlling costs, and providers could better monitor resource utilization.

SmartCare® was designed to make it much cheaper and much easier to analyze healthcare data, while at the same time provide real data mining.

As you’ll read in the following case studies, SmartCare® has been used by payors, providers, and by consulting firms that bridge the gap. We all want healthcare costs to go down and quality of care to go up. Here are some examples of organizations that are making progress on both.