Health plan data analytics

Data is driving health experience innovations

You’re under pressure to enhance members’ healthcare experience, quality and outcomes — and do it all at a lower cost.

You want affordable, convenient, equitable and engaging care for your Members.  How do you get there?  You can’t let temperamental technology or overwhelmed IT teams slow down your ability to use data to drive ahead.

With a powerful analytics platform, decades of experience, and a flexible approach, we help you get more out of your data.  Anticipate trends, receive alerts, watch leading indicators, leverage predictions, and use data differently to advance your strategic value to your customers and yourself.

Generate both high-level insights and detailed views to:

  • Enable fact-based consensus and strategic decisions
  • Measure and manage risk, act upon rising risk
  • Surface cost-saving opportunities
  • Evaluate performance to tune and optimize
  • Improve care quality & patient outcomes

You have what they need

Your customers want the best for members too.

Let the flexibility and power of an analytic platform set you apart.

  • Visualize complex data so it’s easy to understand
  • Let them interact with dashboards and self-serve answers
  • Foster collaboration between brokers and clients for healthy partnerships
  • Proactively offer cutting edge analytics in our rapidly changing landscape
  • Send reports and alerts as a trusted health partner that offers transparency
Data is a pain. Technology keeps changing. And questions are different everyday.

With HDMS you have a flexible platform and people to work it so you can look forward everyday.

Be a power user or give us your task list. Or both. Your choice. We’re ready for you.

"We're able to provide [our clients] direct access to all of their data, and a way to view it as a story as opposed to just a series of reports."

– Shawn Shapiro,

Director of Client Analytics at Meritain Health

Health plan data analytics for a wide variety of markets

Challenges facing commercial plans

As a commercial health plan, you must maintain market competitiveness and optimize provider networks even as you navigate the transition to value-based care. That means figuring out how to improve members' outcomes, care quality and experience while driving down the total cost of care across varied populations. You need actionable insights.

How HDMS helps

Our experience working with commercial plans in a variety of distinct markets across the U.S. gives us an exceptional understanding of the data and insights you need to gain a competitive edge.

Case study

Discover how we helped one large Southeastern health plan determine utilization and medical costs for members participating in their health management programs.

Challenges facing federal plans

It's tough to keep pace with all the federal rules and regulations governing Medicare and Medicaid plans. In addition, plan managers face constant cost pressures to stay within state-allocated and enrollee budget limits while caring for highly complex member populations.

How HDMS helps

We offer Medicare and Medicaid plans opportunities for data-driven cost and quality control. Our sophisticated data analytics tools can help illuminate beneficial cost savings and quality improvement initiatives for even the most vulnerable and high-risk member populations.

Case study

South Country Health Alliance, a county-based health plan, turned to HDMS to leverage its large volumes of data to engage and improve outcomes for 41,000 members - all of whom are Medicare and Medicaid participants. With HDMS, the group's providers felt more comfortable taking upside and downside risk.

Challenges facing MCOs and regional plans

With fixed premiums, managed care organizations (MCOs) and regional plans take on more risk to ensure claims numbers hit the right targets. Knowing how to control member costs and design quality improvement programs is essential.

How HDMS helps

Our sophisticated data analytics tools have helped regional plans and MCOs measure and manage risk for years. We offer you the ability to identify the highest risk populations for more focused and effective cost and quality management programs.