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Informatics Consulting

APS Healthcare uses a wide array of data and informatics tools to better understand and manage publicly and privately funded healthcare programs. Through the use of industry-leading tools and techniques, APS’ informatics consulting services empower customers to make educated decisions regarding their healthcare programs.

APS’ custom analyses are used to target and solve specific healthcare challenges facing customers. The company’s informatics consulting services include:

  • Healthcare data and analytic services (including data analysis and trend reporting, rate modeling and risk analysis)

  • Program evaluation services to measure and understand efficiency and effectiveness, including impact, process and cost analysis

  • Healthcare policy analysis

  • Performance measurement and quality assurance services (including external quality review, treatment gap analysis and interventions, quality improvement program review and outcomes measurement)

  • Survey development and data analysis

  • Fraud and abuse detection for Medicaid programs

The company’s dedicated informatics team, including clinical and analytical professionals, support all of APS’ programs and services. The team conducts more than 500 research and analytic projects each year, such as:

  • Inappropriate emergency room utilization

  • Identification of under- and over-utilization of services

  • Enrollment forecasting and cost impact analysis

  • Pharmacy utilization analysis

  • Health plan enrollee satisfaction

  • Impact of changes in eligibility guidelines for members

  • Health plan performance

APS leverages proprietary and external informatics technologies to deliver its services. Together with industry expertise and analytical rigor, these tools and technologies deliver applied, actionable information. By having a dedicated informatics group, APS is more effectively able to bring insights that are tailored to the problem being analyzed and are meaningful to its customers.

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