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4 Ways Health Insurance Analytics is Transforming the Insurance Marketplace

Sep 26, 2018

Embracing change is one of the buzzwords that healthcare insurance providers swear by when it comes to sustaining themselves in the competitive marketplace. The industry, for a while now, has been going through rapid transformations. And with the implementation of new healthcare reforms and cost structures, health insurance companies are facing the daunting task of staying a step ahead of the competition, meeting the rising demand for insurance coverage, and keeping their costs low. Therefore, in a bid to reduce costs and streamline processes, many providers have started using strategic tools such as health insurance analytics. The biggest advantage of health insurance analytics lies in its ability to help companies position themselves competitively in the insurance marketplace. 

The constantly rising healthcare costs accompanied by the struggle to provide quality healthcare is driving the need for health insurance analytics.   

In this blog, we at Quantzig, have listed a few ways in which health insurance analytics is transforming the insurance marketplace and is providing a better opportunity for insurance companies to grow. 

Insurance Analytics Benefits

Improving Customer-Centricity

Customer centricity has become the very fundamental goal of every industry and the same is the case with the health insurance industry as well. Clients or patients want a trusted consultant who can help them avail the insurance service that they actually need. Health insurance analytics can help brokers fulfill that role. Insurance companies can now allow agents to take the help of health insurance analytics to gain actionable insights based on the data of the customer. With the help of health insurance analytics, instead of blindly cold-calling, insurance companies can call when they know their client is actually missing something they need. This will make the client feel like the insurance provider is actually looking out for them.

Contact us to know more about how health insurance analytics can help insurance companies boost their presence in the insurance marketplace.

Preventing Frauds

Actionable intelligence from health insurance analytics can be used to figure out who is most likely to commit insurance fraud before it ever happens. With its help, an agent can monitor data in real-time from various social media channels to see if a policyholder is engaged or trapped in fraud. This way, the client can be saved from losing money in the name of false insurance promises.

Reduction in Costs

Payers or clients can fetch information that will help drive down their overheads, speeding up their claims processing, and optimize operational efficiency. Additionally, insurance health analytics can help with implementing the appropriate network discounts, physician incentives, accurate pricing models, and optimal fee schedules. Also, with the aid of data collated from the use of health insurance analytics, high-cost demographic areas can be targeted better.

Quality Care and Treatment

Health insurance analytics also helps improve the quality of consumers or patients care, while simultaneously regulating and controlling costs to provide better care for less money. Predictive algorithms can be brought into use to enable savings, direct decision-making, and bring about efficiencies.

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