System for Real Time Analysis of Medication Use in the Monetary Value
One of the key responsibilities of an insurance company in healthcare is to regularly update the list of reimbursable medications to ensure patients receive the most effective and appropriate treatments. However, this process is complex and must carefully balance the interests and needs of all stakeholders, including patients, providers, and insurers.
This approach enables the monitoring and analysis of medication use practices.
It focuses on predefined patient cases and reimbursement rules, ensuring a clear and data-driven approach. This helps balance the complex needs of stakeholders in contract structures while keeping the workload for implementation reasonable.
Steps covered:
- Business system analyses
- Developing data analyses structure
- Database administration, user interface programming, automated analytical reports, data visualization – e.g. a combination of Python, SAP HANA SQL, and MS Power BI’s DAX coding
