Why choose SAS for health care finance analytics solutions?
Navigate financial complexity and fight fraud.
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Generate alerts and create customized reports to predict, prevent and manage payment integrity issues
Predict and mitigate fraudulent behavior. SAS offers a comprehensive alert generation process using predictive modeling and automated business rules. Create customized views to share within the organization to help improve collaboration, quantify impact and convince leadership to invest in resources.
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Identify linkages between fraudulent claims behavior
Pinpoint associations among seemingly unrelated claims with a unique visualization interface that lets you go beyond individual and account views to analyze all related activities and relationships at a network dimension.
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Quantify the impact of value-based care programs and costs
Create customized views that help quantify the cost factors to optimize utilization, impact and ROI of value-based care programs.
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Evaluate risk factors to predict needs
Unlock the true health status of populations by grouping patients by risk factor and disease state. Predict future needs and costs through one shared platform.
Control costs, improve quality of care and maintain regulatory compliance
Succeed in value-based payment models by combining key data points from disparate sources, enabling data sharing, cost savings and improved health outcomes. Optimize the detection, management and prevention of payment integrity issues and maintain regulatory compliance.
Value-based care and payment models
Succeed in value-based care and payment models using advanced analytics to help optimize costs and improve outcomes. Confidently predict and manage financial and clinical risks and rewards associated with contracting for value.
Fraud, waste and abuse (FWA) detection and prevention
Detect and prevent FWA faster through automation and machine learning – and manage payment integrity issues from every angle. Use powerful analytics and AI to identify new schemes and links between serial fraudsters.
Improved health quality measures
Classify patient populations into distinct cohorts to tailor care to meet measures of quality and health outcomes. Track the quality of clinical and operational services to identify areas for improvement and determine the true cost of clinical interventions.
Financial stability and regulatory compliance
Adopt a cloud-based solution that enables automated updates with no input required for regulatory compliance. Consolidate data sources to reduce capital expenditures and identify areas of avoidable utilization.
How SAS delivers award-winning health care finance solutions
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$10+ billion
The Centers for Medicare & Medicaid Services have identified more than $10 billion in potential savings by identifying discrepancies in billing, utilization and payments.
SAS is a leader is health care finance analytics
SAS is a luminary in Celent Insurance Fraud Detection Solutions: Health Insurance, 2022 Edition.
Featured Products
Learn more about our best-in-class products for visualizing costs and resources while predicting fraudulent claims behavior.