PROGRAM SUPPORT

Trusted advisors &
subject matter experts

DATA MANAGEMENT

Reliable data for decision making

ANALYTICS

From data to insight
to action

MODERNIZATION

Cloud-based analytics
& development

Exceptional & Reliable Partner

Supporting CMS and other healthcare agencies with expertise in Risk Adjustment, Quality of Care, Encounter Data, Prescription Drug Data, Fee-for-Service Claims, MAC program, Physician Fee Schedule, and Program Integrity

Program Support

Serve as SMEs with commercial and government healthcare policy, program, data, and analytics
Provide a specialized focus on risk adjustment, quality, and program integrity
Deploy analytic systems for strategic, tactical, and operational decisions
Manage day-to-day operations using Agile methods and best practices

Knowledgeable in medical & pharmacy claims, encounter data, clinical and labs records, and operational data
Deploy grouper and classification technologies (e.g. CMS-HCC, ETG, ERG, DRG, ACG)
Optimize data and statistical programming using SAS®, Python, R, and SQL
Convert legacy system to open-source for cost-effectiveness and modernization efforts

Data Management

Analytics

Deliver insights from data to improve policy outcomes and program effectiveness
Develop and design research, evaluate programs, and conduct traditional statistical analyses
Model data using Machine Learning, Forecasting, Simulation, and NLP & Text Mining techniques
Provide visualizations, dashboards, and other applications to enable self-service analytics

Migrate analytic platforms to the cloud
Transition legacy SAS® to SAS VIYA® for better innovation
Convert SAS® to Python, Spark, R, & SQL code
Assess, classify, and prioritize legacy code for conversion
Modernized multiple government health programs

Government