SYSTEM AND METHOD FOR AUTOMATED ANALYTIC PROCESS FLOWS TO IMPROVE HEALTH OUTCOMES AND MANAGE HEALTHCARE COSTS

摘要

A system and method for automating analytic processes to improve health outcomes and manage healthcare costs. Data associated with healthcare encounters with managed care organizations (MCOs) is acquired. Findings, predictions, and recommendations for tracking services provided by the MCOs are identified with analytic flows that are based on the data. Relations between the services provided by the MCOs and the healthcare encounters are identified. Utilization statistics are extracted from the data with the analytic processes. Information from the utilization statistics relevant to the healthcare encounters is output.