Comprehensive data models containing data warehouse design models, business terminology model and analysis templates that accelerate the development of business applications.
Enables the consolidation of trusted information across multiple viewpoints:
- Delivers competitive advantage by enabling the consolidation of clean, meaningful plan data across multiple providers and members.
- Covers Claims handling, adjudication and recovery, disbursements analysis, member service and retention, provider performance and quality, disease management, utilization management, pharmacy benefits, underwriting, profitability visibility and more.
- Enables business users to more effectively control and reduce the time taken to scoping their requirements, subsequent customization and any extension of the data warehouse.
- Provides a solid basis for measuring the cost and effectiveness of health care outcomes, based on the latest regulations via financial reporting and performance management decision support, real-time analytics and predictive modeling.
- Offers a foundation for the Health Insurance Portability and Accountability Act (HIPAA) 5010 specification
- Assistance with regulatory reporting of Medical Loss Ratios, and International Classification of Diseases ICD -9 and ICD-10, and NCQA Healthcare Effectiveness and Data Information Set (HEDIS) standard
- Helps minimize development costs. Reduces the risk of failure by facilitating an incremental approach to delivering integrated reporting repository
- Find out what’s new in the latest version of the IBM Industry Models
- Operating systems supported: Windows family
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Acheter IBM Health Plan Data Model
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System requirements
Get a detailed look at detailed hardware and software requirements for IBM Industry Models.
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