Industries / Health Insurance

SAS® for Health Insurance

Improve operational efficiency and increase bottom-line results

Health insurers are under increased pressure to improve the way they do business. But inefficient business processes, lengthy claims processing and outdated information management strategies are proving to be formidable roadblocks to demonstrating value to those who purchase health care benefits. To overcome the roadblocks, health insurers must shift from a reactive to a proactive stance by using health analytics to predict – and respond to – challenges before they occur.

" "The current climate requires us to fundamentally change the way we do business; analytics are a required ingredient in our transformation. It's one thing to have information at your fingertips. It's another to use that information effectively. SAS Analytics make that difference.""

— Avery Earwood

Director of Best Practices Solutions
Independent Health

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Which Problem Are You Trying to Solve? 

Fraud and Improper Payments

Go beyond traditional, rules-based fraud detection to make predictive, accurate claims decisions before claims are paid.

Health and Condition Management

Predict risk and optimize interventions in order to achieve improved outcomes.

Actuarial Analysis

Understand trend drivers, predict financial performance with greater accuracy and empower your reserving strategy.

Customer Insight

Respond to changing demographics and consumer demands.

Health Insurance Solutions

SAS® Fraud Framework for Health Care

Fraud, waste and abuse cost the health care industry billions of dollars each year. Health payers pass losses on to consumers in the form of higher premiums. Money lost to fraud and abuse is money that can’t be spent on improving the quality of care for those incurring valid expenses. Unfortunately, fraud often isn’t discovered until after claims are paid – and recovery of funds is unlikely. The SAS Fraud Framework for Health Care can help. 

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Ready to learn more?

Call us at 1-800-727-0025 (US and Canada) or request more information.