Studying data favors care
Want clarity on which provider costs or procedures weigh most on the claims?
We’ll show you how it’s done.
We deliver:
- Easy analysis
- Presentation of insights
- Clarity on claim rates
- Intuitive dashboards
- Easy visualization of before and after
- User-friendly interface
Challenge
A partner brokerage approached us wanting to know: how can we compare the costs of hospitalizations between a large hospital network and other networks?
It’s quite a challenge, right? After all, imagine how granular these data are!
But here, we’re not afraid of data: we leverage it.
Solution
Let’s structure these data to favor care!
We took the providers from Hospital Network “X” and all other networks covered by the broker’s portfolio plans.
We grouped the data with our AI and compared the usage and cost data between Hospital Network “X” and the other providers in the portfolio.
Then, we broke down all the procedures to understand the impacts of each cost during hospitalization and after it.
With all this smart structure, we were able to analyze the real care cost, which is the cost of each procedure across different operators.
And the best part is, it’s not complicated: each of these costs can be viewed on an intuitive dashboard that allows for macro or micro analyses, facilitating the best decision-making based on real scenarios.
Results
51
in savings on hospitalizations
And all of this without compromising the quality of care and all the necessary patient monitoring. That’s what generating value is all about!
And why is this information important?
Because with it, our partner has access to the average cost of each procedure, average days of hospitalization, origin of the hospitalization (elective or via emergency/ER), geolocation, and every kind of comparative detail between two or more hospital networks.
That’s what benchmarking is!
The best of artificial intelligence serving automation and speed
Resultados:
- Monitoring of costs in medical services
- Global diagnosis of the client portfolio
- Rankings with the main indicators of financial impacts vs. savings
- Automatic reports for health committees
- 360º user view to monitor costs and solution efficiency
And all of this with all the human intelligence of the Semantix team – which makes all the difference!
Just like for this partner, the Healthcare Economics has a lot to offer for you.
What we delivered:
- Analyses of health plans and accredited network
- Monitoring and evolution of covered beneficiaries
- Comparison of claim rates by operator
- Anticipation of possible social impacts
- Customized reports (in the premium version)
128
total number of patients who progressed to hospitalization
19
patients hospitalized in Hospital Network "X"
51%
average cost variation when compared to the portfolio
(data accounted for in November 2021)
”This analysis carried out by the Semantix software was essential for us to defend our thesis to our client portfolio. With clarity on both macro and micro data, we can show the reality of health costs. Without the data, our thesis would be a mere opinion.
Health manager of the brokerage
Want to enhance your operation?
Talk to one of our specialists!
Why Semantix?
We are the first deep tech company in Latin America.
We have the only All-In-One platform in the market.
Bring your data. We take care of them from end to end. You analyze and reap the results.
Is it expensive?
Not at all. In addition to offering solutions that fit your budget, you can reduce operational costs and accelerate your business objectives, generating value through data.
What is included in the package of your products?
- 24×7 or 8×5 support
- Included cloud infrastructure
- Professional services for your projects
- Ingestion with 200 pre-built components ready to use
- Pre-built Artificial Intelligence solutions for you to use
