Drive better patient outcomes and stronger financial results through smarter Big Data analytics.

Healthcare

Achieving positive patient outcomes is the unifying goal in healthcare. More effective Big Data analytics puts that goal within reach while also delivering positive financial outcomes for the industry.

Solutions for...

  • Clinics
  • Hospitals
  • IDNs
  • NGOs
  • Pharmacies
  • Physicians

Market Challenges & Opportunities

Healthcare providers must deliver timely and accurate diagnoses, high-quality patient outcomes, and a positive patient service experience. They must also maintain financial viability. Big Data analytics can play a key role in balancing cost and quality, but a massive volume of data and a multitude of discrete IT systems can complicate their ability to rapidly extract valuable insight and deliver it to decision makers. If data isn’t providing actionable insight at the right place and time, then economics and quality of care can both suffer.

Solution IPC Can Help

Solution IPC has developed a series of solutions that help healthcare professionals deliver superior patient outcomes and manage operations efficiently and economically. Claims and payments in alignment, efficient workflows and supply chains, patient and employee safety, and regulatory compliance aren’t merely business goals. They also allow providers to remain economically viable so that they can deliver timely, quality care that saves and improves patient lives.

Solution Overview

Stop Revenue Leakage

Find more missing charges.

Hospital Revenue Leakage is a revenue management solution for healthcare providers. It uses advanced data science to find missing charges in patient accounts.

How it delivers value:

  • Allows providers to recoup lost revenue and take action to mitigate or eliminate future losses
  • Enables rapid and accurate remuneration of healthcare providers
  • Provides a simple, intuitive user interface that allows auditors to start every day with a prioritized list of patient accounts, submit account corrections, and provide feedback
  • Uses advanced machine learning techniques that improve detection and accuracy over time
  • Adapts automatically to changes in rules and regulations
  • Integrates readily with existing hospital IT systems
  • Installs and operates with the flexibility of a cloud-based solution
Mitigate Fraud

Don’t let fraudsters stake a claim.

FWA Radar is a fraud, waste, and abuse detection solution for healthcare payers. It helps insurers systematically reduce payment on fraudulent claims.
 

How it delivers value:

  • Utilizes a patented ensemble model approach with pattern-based analytics to detect up to 25% of all fraud, waste, and abuse in health insurance claims
  • Detects illicit activity that other systems miss
  • Works quickly and proactively to address errors and fraudulent claims before a claim is paid
  • Continues to work after payment is made, using its extensive case management capabilities to monitor workflow, learn patterns, and improve future detection
  • Minimizes its IT footprint as a cloud-based solution, enabling quick setup and flexible usage
Optimize Staffing

Smarter staffing delivers better care at efficient cost.

Hospital Staffing Optimizer uses predictive data analytics and sophisticated machine learning algorithms to produce precision scheduling recommendations.

How it delivers value:

  • For patients: improves care quality by recommending staffing levels that minimize wait times.
  • For nurses: increases satisfaction by minimizing last-minute schedule changes and offering the ability to request schedule changes remotely.
  • For staff directors: eliminates cumbersome scheduling processes, freeing time to spend with patients and staff; also allows viewing of predictive metrics for patient care and economics prior to publishing.
  • For executives: enables more effective management of key metrics for patient care and budget (e.g., paid hours, wait times, length of stay, patient satisfaction, PTO, overtime).
  • For all staff: develops tailored recommendations based on facility-specific historical data and presents output in an easy-to-use online interface.
Improve Procurement

Optimize the supply chain from source to patient.

Hospital Supply Chain is a strategic sourcing and procurement optimization solution that focuses on improving efficiency and econonics for healthcare providers.

How it delivers value:

  • Brings visibility, control, and an always-on capability to monitor your spend
  • Simplifies contracting with manufacturers and distributors
  • Proactively manages available purchasing and contract data with advanced data management and data science techniques
  • Helps providers more consistently earn the best price tiers, enforce contract compliance, and maximize rebates
  • Accelerates “time-to-money” and generates sustainable savings
  • Improves profitability of individual facilities and entire healthcare delivery networks
More...

Deliver high-quality outcomes, for patients and your business.

Solution IPC' understands the razor-thin margins everyone in the healthcare industry faces and offers a wide array of options that address the most pressing financial and patient-focused issues.

  • Collections
  • Compliance
  • Patient Cost and Risk Management
  • Readmission Reduction

Solutions for...

  • EPOs
  • GPOs
  • HMOs
  • PPOs
  • Government health insurers
  • Private health insurers

Market Challenges & Opportunities

Healthcare payers play a critical role in care delivery, since the entities providing the care need remuneration if they are to remain operationally viable. Inaccuracies, slow processing times, and fraud can result in claims denial, seemingly endless verification steps, elongated audit cycles, or financial losses for payers and providers. Patient care can be postponed, sometimes indefinitely. Financial risk for payers and providers is real and substantial, and patient quality-of-life is at stake.

Solution IPC Can Help

Getting the financials right clears the way for healthcare to take place and allows providers to deliver care sustainably, improving patient outcomes while preserving their financial integrity. Solution IPC makes healthcare claims verification and payment management transparent, accurate, and efficient. With Solution IPC, payers can be confident about remuneration, and providers can focus on delivering quality care.

Solution Overview

Stop Revenue Leakage

Find more missing charges.

Hospital Revenue Leakage is a revenue management solution for healthcare providers. It uses advanced data science to find missing charges in patient accounts.

How it delivers value:

  • Allows providers to recoup lost revenue and take action to mitigate or eliminate future losses
  • Enables rapid and accurate remuneration of healthcare providers
  • Provides a simple, intuitive user interface that allows auditors to start every day with a prioritized list of patient accounts, submit account corrections, and provide feedback
  • Uses advanced machine learning techniques that improve detection and accuracy over time
  • Adapts automatically to changes in rules and regulations
  • Integrates readily with existing hospital IT systems
  • Installs and operates with the flexibility of a cloud-based solution
Mitigate Fraud

Don’t let fraudsters stake a claim.

FWA Radar is a fraud, waste, and abuse detection solution for healthcare payers. It helps insurers systematically reduce payment on fraudulent claims.
 

How it delivers value:

  • Utilizes a patented ensemble model approach with pattern-based analytics to detect up to 25% of all fraud, waste, and abuse in health insurance claims
  • Detects illicit activity that other systems miss
  • Works quickly and proactively to address errors and fraudulent claims before a claim is paid
  • Continues to work after payment is made, using its extensive case management capabilities to monitor workflow, learn patterns, and improve future detection
  • Minimizes its IT footprint as a cloud-based solution, enabling quick setup and flexible usage
Optimize Staffing

Smarter staffing delivers better care at efficient cost.

Hospital Staffing Optimizer uses predictive data analytics and sophisticated machine learning algorithms to produce precision scheduling recommendations.

How it delivers value:

  • For patients: improves care quality by recommending staffing levels that minimize wait times.
  • For nurses: increases satisfaction by minimizing last-minute schedule changes and offering the ability to request schedule changes remotely.
  • For staff directors: eliminates cumbersome scheduling processes, freeing time to spend with patients and staff; also allows viewing of predictive metrics for patient care and economics prior to publishing.
  • For executives: enables more effective management of key metrics for patient care and budget (e.g., paid hours, wait times, length of stay, patient satisfaction, PTO, overtime).
  • For all staff: develops tailored recommendations based on facility-specific historical data and presents output in an easy-to-use online interface.
Improve Procurement

Optimize the supply chain from source to patient.

Hospital Supply Chain is a strategic sourcing and procurement optimization solution that focuses on improving efficiency and econonics for healthcare providers.

How it delivers value:

  • Brings visibility, control, and an always-on capability to monitor your spend
  • Simplifies contracting with manufacturers and distributors
  • Proactively manages available purchasing and contract data with advanced data management and data science techniques
  • Helps providers more consistently earn the best price tiers, enforce contract compliance, and maximize rebates
  • Accelerates “time-to-money” and generates sustainable savings
  • Improves profitability of individual facilities and entire healthcare delivery networks
More...

Deliver high-quality outcomes, for patients and your business.

Solution IPC' understands the razor-thin margins everyone in the healthcare industry faces and offers a wide array of options that address the most pressing financial and patient-focused issues.

  • Collections
  • Compliance
  • Patient Cost and Risk Management
  • Readmission Reduction

Solutions for...

  • Government healthcare exchanges
  • Private healthcare exchanges

Market Challenges & Opportunities

Healthcare exchanges play an essential role in enabling quality healthcare and maintaining a fair and sustainable cost structure. Yet competing market forces and seemingly contradictory agendas can complicate their ability to deliver quality care at reasonable cost. Big Data can help align these dual mandates and resolve inherent contradictions, but even the most sophisticated organizations often struggle to master this complex data landscape.

Solution IPC Can Help

Mastering Big Data flows that drive the critical work of healthcare exchanges is the key to taming the complexity that defines this market. With Solution IPC, exchanges benefit by gaining more transparency and insight into their interactions with other industry participants, as well as greater data integrity and accuracy in their enrollment, payment, and sourcing processes.

Solution Overview

Stop Revenue Leakage

Find more missing charges.

Hospital Revenue Leakage is a revenue management solution for healthcare providers. It uses advanced data science to find missing charges in patient accounts.

How it delivers value:

  • Allows providers to recoup lost revenue and take action to mitigate or eliminate future losses
  • Enables rapid and accurate remuneration of healthcare providers
  • Provides a simple, intuitive user interface that allows auditors to start every day with a prioritized list of patient accounts, submit account corrections, and provide feedback
  • Uses advanced machine learning techniques that improve detection and accuracy over time
  • Adapts automatically to changes in rules and regulations
  • Integrates readily with existing hospital IT systems
  • Installs and operates with the flexibility of a cloud-based solution
Mitigate Fraud

Don’t let fraudsters stake a claim.

FWA Radar is a fraud, waste, and abuse detection solution for healthcare payers. It helps insurers systematically reduce payment on fraudulent claims.
 

How it delivers value:

  • Utilizes a patented ensemble model approach with pattern-based analytics to detect up to 25% of all fraud, waste, and abuse in health insurance claims
  • Detects illicit activity that other systems miss
  • Works quickly and proactively to address errors and fraudulent claims before a claim is paid
  • Continues to work after payment is made, using its extensive case management capabilities to monitor workflow, learn patterns, and improve future detection
  • Minimizes its IT footprint as a cloud-based solution, enabling quick setup and flexible usage
Optimize Staffing

Smarter staffing delivers better care at efficient cost.

Hospital Staffing Optimizer uses predictive data analytics and sophisticated machine learning algorithms to produce precision scheduling recommendations.

How it delivers value:

  • For patients: improves care quality by recommending staffing levels that minimize wait times.
  • For nurses: increases satisfaction by minimizing last-minute schedule changes and offering the ability to request schedule changes remotely.
  • For staff directors: eliminates cumbersome scheduling processes, freeing time to spend with patients and staff; also allows viewing of predictive metrics for patient care and economics prior to publishing.
  • For executives: enables more effective management of key metrics for patient care and budget (e.g., paid hours, wait times, length of stay, patient satisfaction, PTO, overtime).
  • For all staff: develops tailored recommendations based on facility-specific historical data and presents output in an easy-to-use online interface.
Improve Procurement

Optimize the supply chain from source to patient.

Hospital Supply Chain is a strategic sourcing and procurement optimization solution that focuses on improving efficiency and econonics for healthcare providers.

How it delivers value:

  • Brings visibility, control, and an always-on capability to monitor your spend
  • Simplifies contracting with manufacturers and distributors
  • Proactively manages available purchasing and contract data with advanced data management and data science techniques
  • Helps providers more consistently earn the best price tiers, enforce contract compliance, and maximize rebates
  • Accelerates “time-to-money” and generates sustainable savings
  • Improves profitability of individual facilities and entire healthcare delivery networks
More...

Deliver high-quality outcomes, for patients and your business.

Solution IPC' understands the razor-thin margins everyone in the healthcare industry faces and offers a wide array of options that address the most pressing financial and patient-focused issues.

  • Collections
  • Compliance
  • Patient Cost and Risk Management
  • Readmission Reduction

Solutions for...

  • State or province entities
  • Federal or national entities

Market Challenges & Opportunities

Oversight is necessary for any critical industry, especially when human lives are at stake. Oversight requires insight, and insight must be timely, accurate, and capable of driving actions. Healthcare regulators bear an immense burden to see into the future, peer deeply into current activities, learn from the past, and apply their knowledge and intuition to shape industry practices. Even if the data to manage all of this is close at hand, using that data effectively is no small task.

Solution IPC Can Help

With Solution IPC, regulators can peer into Big Data flows across the entire healthcare value chain, identifying inefficiencies, flagging actual or potential risks, and revealing fraud. Advance knowledge enables timely intervention, and deeper forensic insight into past events helps regulators take action that reduces the likelihood of adverse events recurring.

Solution Overview

Stop Revenue Leakage

Find more missing charges.

Hospital Revenue Leakage is a revenue management solution for healthcare providers. It uses advanced data science to find missing charges in patient accounts.

How it delivers value:

  • Allows providers to recoup lost revenue and take action to mitigate or eliminate future losses
  • Enables rapid and accurate remuneration of healthcare providers
  • Provides a simple, intuitive user interface that allows auditors to start every day with a prioritized list of patient accounts, submit account corrections, and provide feedback
  • Uses advanced machine learning techniques that improve detection and accuracy over time
  • Adapts automatically to changes in rules and regulations
  • Integrates readily with existing hospital IT systems
  • Installs and operates with the flexibility of a cloud-based solution
Mitigate Fraud

Don’t let fraudsters stake a claim.

FWA Radar is a fraud, waste, and abuse detection solution for healthcare payers. It helps insurers systematically reduce payment on fraudulent claims.
 

How it delivers value:

  • Utilizes a patented ensemble model approach with pattern-based analytics to detect up to 25% of all fraud, waste, and abuse in health insurance claims
  • Detects illicit activity that other systems miss
  • Works quickly and proactively to address errors and fraudulent claims before a claim is paid
  • Continues to work after payment is made, using its extensive case management capabilities to monitor workflow, learn patterns, and improve future detection
  • Minimizes its IT footprint as a cloud-based solution, enabling quick setup and flexible usage
Optimize Staffing

Smarter staffing delivers better care at efficient cost.

Hospital Staffing Optimizer uses predictive data analytics and sophisticated machine learning algorithms to produce precision scheduling recommendations.

How it delivers value:

  • For patients: improves care quality by recommending staffing levels that minimize wait times.
  • For nurses: increases satisfaction by minimizing last-minute schedule changes and offering the ability to request schedule changes remotely.
  • For staff directors: eliminates cumbersome scheduling processes, freeing time to spend with patients and staff; also allows viewing of predictive metrics for patient care and economics prior to publishing.
  • For executives: enables more effective management of key metrics for patient care and budget (e.g., paid hours, wait times, length of stay, patient satisfaction, PTO, overtime).
  • For all staff: develops tailored recommendations based on facility-specific historical data and presents output in an easy-to-use online interface.
Improve Procurement

Optimize the supply chain from source to patient.

Hospital Supply Chain is a strategic sourcing and procurement optimization solution that focuses on improving efficiency and econonics for healthcare providers.

How it delivers value:

  • Brings visibility, control, and an always-on capability to monitor your spend
  • Simplifies contracting with manufacturers and distributors
  • Proactively manages available purchasing and contract data with advanced data management and data science techniques
  • Helps providers more consistently earn the best price tiers, enforce contract compliance, and maximize rebates
  • Accelerates “time-to-money” and generates sustainable savings
  • Improves profitability of individual facilities and entire healthcare delivery networks
More...

Deliver high-quality outcomes, for patients and your business.

Solution IPC' understands the razor-thin margins everyone in the healthcare industry faces and offers a wide array of options that address the most pressing financial and patient-focused issues.

  • Collections
  • Compliance
  • Patient Cost and Risk Management
  • Readmission Reduction

Solutions for...

  • IT clinical support
  • Retail distributors
  • Wholesale distributors
  • Medical device manufacturers
  • Pharmaceutical manufacturers
  • Pharmacy benefit managers
  • Research
  • Service providers

Market Challenges & Opportunities

While the classic image of a physician caring for a patient may be emblematic of the healthcare industry, the industry landscape consists of many more participants than the healthcare provider alone. Multiple other parties play essential roles, driving core activities that ultimately shape patient outcomes. For those outcomes to be positive, information must flow efficiently and enable timely, accurate decisions that lead to informed business and medical actions.

Solution IPC Can Help

All participants in the healthcare industry share a common interest in achieving high-quality patient outcomes while maintaining viable economics for their businesses. They also share a vested interest in making sense of their Big Data and using that insight to drive value. Solution IPC simplifies and accelerates an organization’s ability to derive accurate insight from Big Data, collapsing time-to-value and delivering that value as a sustainable operational capability over time.

Solution Overview

Stop Revenue Leakage

Find more missing charges.

Hospital Revenue Leakage is a revenue management solution for healthcare providers. It uses advanced data science to find missing charges in patient accounts.

How it delivers value:

  • Allows providers to recoup lost revenue and take action to mitigate or eliminate future losses
  • Enables rapid and accurate remuneration of healthcare providers
  • Provides a simple, intuitive user interface that allows auditors to start every day with a prioritized list of patient accounts, submit account corrections, and provide feedback
  • Uses advanced machine learning techniques that improve detection and accuracy over time
  • Adapts automatically to changes in rules and regulations
  • Integrates readily with existing hospital IT systems
  • Installs and operates with the flexibility of a cloud-based solution
Mitigate Fraud

Don’t let fraudsters stake a claim.

FWA Radar is a fraud, waste, and abuse detection solution for healthcare payers. It helps insurers systematically reduce payment on fraudulent claims.
 

How it delivers value:

  • Utilizes a patented ensemble model approach with pattern-based analytics to detect up to 25% of all fraud, waste, and abuse in health insurance claims
  • Detects illicit activity that other systems miss
  • Works quickly and proactively to address errors and fraudulent claims before a claim is paid
  • Continues to work after payment is made, using its extensive case management capabilities to monitor workflow, learn patterns, and improve future detection
  • Minimizes its IT footprint as a cloud-based solution, enabling quick setup and flexible usage
Optimize Staffing

Smarter staffing delivers better care at efficient cost.

Hospital Staffing Optimizer uses predictive data analytics and sophisticated machine learning algorithms to produce precision scheduling recommendations.

How it delivers value:

  • For patients: improves care quality by recommending staffing levels that minimize wait times.
  • For nurses: increases satisfaction by minimizing last-minute schedule changes and offering the ability to request schedule changes remotely.
  • For staff directors: eliminates cumbersome scheduling processes, freeing time to spend with patients and staff; also allows viewing of predictive metrics for patient care and economics prior to publishing.
  • For executives: enables more effective management of key metrics for patient care and budget (e.g., paid hours, wait times, length of stay, patient satisfaction, PTO, overtime).
  • For all staff: develops tailored recommendations based on facility-specific historical data and presents output in an easy-to-use online interface.
Improve Procurement

Optimize the supply chain from source to patient.

Hospital Supply Chain is a strategic sourcing and procurement optimization solution that focuses on improving efficiency and econonics for healthcare providers.

How it delivers value:

  • Brings visibility, control, and an always-on capability to monitor your spend
  • Simplifies contracting with manufacturers and distributors
  • Proactively manages available purchasing and contract data with advanced data management and data science techniques
  • Helps providers more consistently earn the best price tiers, enforce contract compliance, and maximize rebates
  • Accelerates “time-to-money” and generates sustainable savings
  • Improves profitability of individual facilities and entire healthcare delivery networks
More...

Deliver high-quality outcomes, for patients and your business.

Solution IPC' understands the razor-thin margins everyone in the healthcare industry faces and offers a wide array of options that address the most pressing financial and patient-focused issues.

  • Collections
  • Compliance
  • Patient Cost and Risk Management
  • Readmission Reduction

What the Market Is Saying

“With Revenue Leakage, we’re capturing an additional $1.3 million in missed charges every month — and growing.”

—Eric Waller, Senior Vice President & Chief Marketing Officer; Health Management Associates

"Staffing Optimizer lets us predict what our patient census will be and match the staffing to that census, thereby decreasing patient wait times."

—Ann Spade, Chief Nurse Executive; Carlisle Regional Medical Center; Carlisle, PA

“We were able to look to the data to prove that we were in compliance. That’s a powerful thing.”

—Alan Levine, Senior Vice President & Florida Group President; Health Management Associates

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