ANALYTICS AND OPERATIONAL excellence
iHT leverages its depth of business intelligence, effective technology, and client experience to generate business value. These are experienced by our client in many ways, including the services outlined below.
Anti-Fraud, Waste and Abuse Support
iHT works with its clients to enhance their efficiency with fraud detection, analysis, and prevention. iHT combines deep subject matter expertise, extensive data and technology to provide a full suite of analytics used to detect and discover pattern anomalies.
- Rules-Based Analysis
- Anomaly Detection
- Link and Cluster Analysis
- Predictive Modeling
Client Business Decision Support and Analytics
iHT provides its clients with extensive data analysis through a comprehensive set of customizable reports and in-depth analysis. These reports are part of a full suite of services that include:
- Financial and Costs Analysis
- Specialty and Network Utilization Analysis
- Comparative & Trend Reporting
- Provider Profiling
- Business Operations Assessment
Medication Therapy Management (MTM)
The goal of iHT's MTM program is to improve clinical outcomes and reduce clients' costs by increasing patient self-management of medications through education and improved communication between patients, providers and payers. The program ensures appropriate medication utilization for eligible members resulting in (a) improved clinical outcomes through detection of inappropriate use of medications and increased member adherence to medications and (b) reduced pharmacy and medical costs through elimination of drug duplication and medication errors as well as identification of therapeutic interchanges. iHT's MTM solution meets all CMS MTM requirements and guidance. iHT also provides high-quality analytics and focused pharmacy intervention services consistent with the MTM solution to non-Medicare members.
iHT provides a comprehensive service, leveraging a data driven analytics tool, that helps manage key compliance and performance metrics to assist Medicare Advantage plans achieve the highest Star Rating score.
- iHT provides a powerful advantage in improving and maintaining Star Ratings.
- Professional Service support is available for thought leadership, programs development and execution support.
Business Process Optimization
iHT offers co-sourcing solutions to optimize business processes; reduce administrative / operational costs, and improve productivity and delivery performance. Models include Business Process Engineering Studies, Technology, Solutioning, and Process Improvement.
- Mobile application development
- Staff and expertise in multiple technology practice areas
- Application services and portals
- Implementation Services