Healthcare Claims Data and Analytics
Building a claims data platform: data models, member and provider matching, cost and utilisation metrics, and fraud, waste and abuse detection.
Healthcare Claims Data and Analytics
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- Claims, eligibility and provider data models
- Member and provider matching
- Cost and utilisation metrics such as PMPM
- Fraud, waste and abuse detection
- A reference data platform on the cloud
- Privacy controls for analytics
Where this fits
Level 4 · Health tech engineering & strategy › Value-based care and analytics
This post is licensed under CC BY 4.0 by the author.