Improving the Business of Healthcare through Better Analytics

CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 1

PING ZHANG

Improving the Business of Healthcare through Better Analytics

July 2, 2014


Our Healthcare Challenges “…we spend more on healthcare than the next 10 biggest spenders combined: Japan, Germany, France, China, the U.K., Italy, Canada, Brazil, Spain and Australia. We may be shocked at the $60 billion price tag for cleaning up aJer Hurricane Sandy. We spent almost that much last week on health care.”

§ US Has Highest Health Care Costs, Worst Outcome Among Civilized Na<ons


Big data = $300+ Billion/year in US Healthcare


What impact is big data making in healthcare?

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z Clinics Labs

Payers BIG DATA Medicaid

HIE

ü  Discover & prevent wastes and quality issues ü  Redesign healthcare: heal the sick patient -> keep the public healthy ü  Expedite discovery of new drugs, medical device & methods


10K+ incoming daily data

feeds.

10,000+ DATA FEEDS

21+ billion discrete episodic accounts

21+ BILLION

representing 32+ million

covered lives/members

32+ MILLION

manage 300+ TB of data

300+ TERABYTES

MedeAnalytics By The Numbers

ü  The 1st cloud-based healthcare data analytics solution since 2001 ü  Over 900 hospital and payer clients in the US and UK ü  The 1st healthcare big data analytics solution powered by HP Vertica


REVENUE

COST

RISK

QUALITY

Financial and Clinical Performance

REVENUE

COST

RISK

QUALITY

-  Enterprise Risk Analytics

-  Population Stratification

-  Quality Performance

-  Quality

-  Cost and Utilization

-  Service Line Analytics

-  AR Analytics

-  Compliance

-  ICD10 Coding and Benchmarking

-  Patient Access


MedeAnalytics Solution Suite

7

Improving financial, operaPonal and clinical outcomes

Popula'on Analy'cs

ACO & Bundled Payments

Network Management

Provider Engagement

Medical Management & Medicaid Performance Management

Popula'on Health Pa'ent Access Coding and

Benchmarking

Compliance & Revenue Integrity

Revenue Cycle

One unified plaEorm for Health Plans and Providers

Providers

Health Plans


MedeAnalytics Solution Architecture

Batch Data Processing – Daily/Weekly/Monthly Data Loads

Data Warehouse (Stage)

FTP Server Farm

Text Files Text Files SQL Data

Customer’s HCIS

End Users

User Driven Analy'cs – Online Web Applica'on Interac'on

ROLAP MDX SQL

Cached Reports

User Clicks Logs

MedeAnaly'cs BI PlaEorm Key/Value

ETL Server Farm

JSON

Data Warehouse (Produc'on)

Switch

© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide +1 (866) 660-7555 9

Pentaho

© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide +1 (866) 660-7555 10 © 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide +1 (866) 660-7555 10

OPERATIONAL DATA BIG DATA DATA STREAM PUBLIC/PRIVATE CLOUDS

DBA/ETL/BI DEVELOPER BUSINESS USER BUSINESS/DATA ANALYST

SIMPLIFIED ANALYTICS

EXPERIENCE

ENTERPRISE BIG DATA

INTEGRATION

BLENDED BIG DATA

An architecture for any future, analytics for any data


Critical mass achieved •  Over 1,200 commercial customers

•  Over 10,000 production deployments

Innovation through open source •  Open, pluggable, purpose-built for the future

•  Early sustained leadership in big data ecosystem with technology innovation

Modern, cohesive data integration and business analytics platform •  Full spectrum of advanced analytics for all key roles

•  Embeddable, cloud-ready analytics

•  Big data blending for analytics in real-time environments

•  Broadest and deepest big data integration

WHAT WE DO

We enable the modern, big data-driven business


ANY Analytics •  Reports •  Dashboards •  Visualizations •  Discovery •  Predictive •  Any role

Analytics

ANY Environment •  Data warehouses •  Data marts •  Stack vendors •  Cloud •  Embedded

Existing & New Data Infrastructure

& Processes

ANY Data •  Relational •  Operational •  Big Data •  Data sources not

yet anticipated

Billing

Location

Social Media

Customer

Web

Network

OUR VISION

The New Reality: Powerful yet simplified analytics for all users


Two key pressure points are disrupting the traditional analytics market On the road to the modern big data driven enterprise

Effectively Administer,

Manage & Deploy

Easily Interact, Visualize &

Explore

Blend Data for Comprehensive

View Different Audiences Different Needs

Business Managers Business Analysts Data Scientists Admins IT

Escalating Need for New Data Types

Velocity, Volume, Variety, Value

Next Wave of Self-Service Analytics

Beyond Business Analysts


Entry

Tran

sfor

m

Advanced

Opt

imiz

e

What the Market is Deploying Today and Planning for Tomorrow

A Spectrum of Big Data Use Cases

Data Warehouse

Optimization

Streamlined Data

Refinery

Big Data Exploration

Customer 360 Degree

View

Harnessing Machine &

Sensor Data

Next Generation Applications

Internal Big Data as a Service

On-Demand Big Data Blending

Big Data Predictive Analytics

Use Case Complexity

Busi

ness

Impa

ct


Granular HLS Use Case Categories

Pa'ent 360° • Enhanced pa<ent experience & support •  Pa<ent profiling • Op<mized care path

Cost Reduc'on

•  DWO •  Remove Legacy Vendors / costs • Care op<miza<on – home , hospital , palla<ve

Supply op'miza'on

• Manufacturing process efficiency

• Drug Trail Analy<cs • Supplier/merchant performance management

Risk management

• Compliance breach • Protocol Analy<cs

Compliance • Regulatory compliance (reten<on, privacy HIPPA) • Usage analysis and media<on

Market intelligence

• Compe<<ve analysis • Economic factor analysis • Pa<ent segmenta<on

Data as a product

• Anonymized care paths • Data enriched with insights/inferences


Data integration

Business analytics +

The IT department

Lines of business +

Big data Any data +

Any data. Any environment. Any analytics.

The strength of Pentaho lies in the power of combination


A future-proof data foundation

Big data blended without barriers

Powerful analytics simplified for any role

Data & Analytics

Improving the Business of Healthcare through Better Analytics