Industries: Healthcare
 
Products and Solutions
Industries
Automotive
Casinos
Communications
Education
Financial Services
Government
Health Insurance
- Health and Condition Mgmt.
- Fraud Prevention & Detection
- Actuarial Analysis
Health Care Providers
Hotels
Insurance
Life Sciences
Manufacturing
Media
Oil & Gas
Retail
Utilities
Small to Midsize Business
Nonprofit Organizations
Analytics
Business Analytics
Business Intelligence
Customer Intelligence
Data Integration
Financial Intelligence
Foundation Tools
Fraud Prevention & Detection
Governance, Risk & Compliance
High-Performance Computing
Human Capital Intelligence
IT Management
OnDemand Solutions
Performance Management
Risk Management
Supply Chain Intelligence
Sustainability Management
Product Index A-Z
 

SAS® for Health Insurance

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 But inefficient business processes, lengthy claims processing and outdated information management strategies are proving to be formidable roadblocks to demonstrating value to those who purchase health care benefits.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 predicting – and responding to – challenges before they occur.

  In the Spotlight
Press Release


AFA Insurance prevents loss with SAS® Text Miner
Swedish health insurer reducing workplace injuries by improving the quality of analyses and using previously untapped data sources with help from SAS Text Miner.

Webcast

7th Annual SAS Health Care and Life Sciences Executive Conference
Seeing beyond the horizon. Predict. Prevent. Prevail.
View now

Such predictive power is available to you from SAS. The SAS Business Analytics Framework enables you to gather data from your existing transactional foundation systems and transform it into critical business knowledge.

SAS solutions for health insurance are comprehensive, offering everything you need to make solid business decisions, align actions with business strategy, improve your operational efficiency and, ultimately, increase your bottom line results:

Health Insurance Intelligence
Make sense of your complex challenges by analyzing and uncovering cost and funding balances; understand the factors that affect premium costs and program rates; align book-of-business and line-of-business profitability; and predict activities related to fraud before they occur.

Effectively manage clinical risk by uncovering early indicators for illness, anticipate future utilization of clinical services, improve reimbursements for contract negotiations, and analyze clinical outcomes and medical expenses to reward provider performance. With SAS' powerful analytic capabilities, your organization is better equipped to meet its goals for reducing costs and raising profitability and return on investment.

Health Insurance Fraud. The SAS Fraud Framework for Health Care goes beyond traditional rules-based fraud detection to offer advanced analytics that enable you to make predictive, accurate claims decisions before claims are paid. In addition, the SAS Fraud Framework for Health Care integrates easily with your claims payment processes to improve recovery and prosecution efforts.
Health and Condition Management. Effectively manage clinical risk and gain control of high-cost diseases by uncovering early indicators for illness. With SAS for Health and Condition Management, you can predict risk and optimize interventions in order to achieve improved outcomes.
Customer Intelligence
Identify your most profitable members and employer groups, determine which agents bring in the most members and predict which members will leave your health plan.
Customer Relationship Management. With SAS Customer Relationship Management solutions, you can conduct more effective customer interactions, increase awareness, improve targeted marketing and enhance customer services.

Operational Intelligence
Achieve sustainable operational improvements so you can price services optimally, enable new business strategies, reduce operating costs, improve performance, track progress toward achieving organizational goals and meet service level commitments. With SAS Operational Intelligence solutions for health insurance, you can improve your IT infrastructure management and enhance operational efficiencies.

Actuarial analysis. Understand trend drivers faster and in greater detail; give your CFO and CEO accurate forecasts for annual business plans; compress your analytic cycle to predict financial performance with greater accuracy; and empower your reserving strategy with reliable IBNR and completion forecasts. SAS Business Analytics for health plans also gives your organization a competitive edge with superior business solutions, proven best practices and unmatched industry experience.

Looking for more information on SAS Health Insurance solutions? Ready to put THE POWER TO KNOW® to work for you?
  • Contact your local SAS office or call us toll free at 1-800-727-0025 (U.S. and Canada).
  • Contact SAS for pricing information and to learn more about our products and solutions.


Sign up for the Health and Life Sciences Special
Edition e-newsletter

 

More on this topic

Customer Success
News and Events
White Papers
Interactive Tour
Webcasts
Blog