REGISTER   |   LOGIN   |   HELP
Home  |  Blogs  |  Message Boards  |  Webinars  |  Resources |  By Channel
Beth Schultz

Dental Insurer Bites Into BI

NO RATINGS
View Comments: Newest First | Oldest First | Threaded View
Page 1 / 2   >   >>
SethBreedlove
User Rank
Data Doctor
Re: Like the title and...
SethBreedlove   10/12/2011 10:52:59 PM
NO RATINGS
@ Sean, I agree. Analytics isn't not cold numbers but rather being able to see life in tiny detail. 

It seems Delta has ingrained into it's workers on how accessable this data is and how it is such an important tool.  I've seen in some companies were personel did have access, however didn't make the connection on how it could improve their jobs or make life easier. 

I love this part of the article: " Delta has spawned a culture of knowledge workers, thanks to the analytics, dashboard, and reporting capabilities it's employed. People don't just scan and then pass along reports anymore -- they actually read them."

When I'm reading and analzing reports and  sometimes go back to an employee and see their shock that "Yes, I actually do read them." 

 

P.S. Beware to health care providers because many insurers are implementing this type of fraud detection software. 

Maryam@Impact
User Rank
Blogger
Dental
Maryam@Impact   10/12/2011 12:38:19 PM
NO RATINGS

Beth this is awesome is so refreshing to see analytics being used to not only analyze the past but to drive the future!

BethSchultz
User Rank
Blogger
Re: Like the title and...
BethSchultz   10/7/2011 12:51:45 PM
NO RATINGS
Unfortunately, so much of what we do in this country is about bilking the system. Government contractors are another group that has long exploited inefficiencies and "look the other way" attitudes. But that's starting to change too, as government agencies, under pressure themselves, are beginning to demand evidence-based analysis of their contractors, as Shyam Desigan notes in his AllAnalytics.com post today.

Ariella
User Rank
Blogger
Re: Like the title and...
Ariella   10/7/2011 7:17:38 AM
NO RATINGS
Yes, Shawn, and it's good that Delta wants to get a clear picture on this. Years ago I complained to Oxford insurance about a certain doctor's practice that tried to augment the flat rate paid for prenatal care by delaying the pregnancy diagnosis and billing for each of the early visits and the ultra-sound as separate items. They didn't seem to care to know about it. It was rather like a teacher who knows that students are cheating but prefers looking the other way rather than confronting them on it.

Shawn Hessinger
User Rank
Blogger
Re: Like the title and...
Shawn Hessinger   10/6/2011 11:01:11 PM
NO RATINGS
Ariella,

At the very least, you would expect that it can allow everyone to see the magnitude of the problem a bit better, like creating an effective model for your monthly household budget. It helps you see better where your money is going and, if you don't like what you see, can be the first step in correcting things.

Shawn Hessinger
User Rank
Blogger
Re: Like the title and...
Shawn Hessinger   10/6/2011 10:55:54 PM
NO RATINGS
Cordell,

Not  sure where we get the notion that numbers somehow abstract the real world or that they make things somehow detached and unreal. The fact is, as we see here, they can also help us see the world in new ways.

BethSchultz
User Rank
Blogger
Fraud/risk management
BethSchultz   10/6/2011 6:03:33 PM
NO RATINGS
Arielle, agreed. I think that is a valuable use of the BI capabilities. For the future, Delta would like to get even more aggressive on monitoring and stopping fraud. The tool it uses today is great at providing a lot of analytic capabilities, but Sheffield says it'll continue to enhance that with more algorithms that enable provider relations to discover abhorrent behavior even more quickly. He says it'll have to mine across a few more metrics to see if the provider is truly worth investigating, and build in more automation so it can look at larger sample sizes, get more accurate results, and probably integrate back to the transaction system to place providers on hold, as necessary. 

 

 


Ariella
User Rank
Blogger
Re: Like the title and...
Ariella   10/6/2011 5:47:10 PM
NO RATINGS
I like the idea of monitoring providers to reduce fraud. There is so much fraud in insurance, which raises costs for all the honest folks.

Cordell
User Rank
Blogger
Re: Like the title and...
Cordell   10/6/2011 3:40:27 PM
NO RATINGS
I have to agree here too Shawn.  If generating data and metrics is the goal of the exercise then you've missed the point.  You want to unleash your employees creativity in the real world, not one they imagine to be true.  Data just describes what the world is. Hopefully employees will look at it and go "Really? I didn't know that? What can we do to make it better?" or "That's what I thought. I wasn't just imagining things. We need to fix this problem." 

BethSchultz
User Rank
Blogger
Re: Like the title and...
BethSchultz   10/6/2011 1:57:30 PM
NO RATINGS
Agreed!

Page 1 / 2   >   >>
More Blogs from Beth Schultz
This in-flight connectivity provider got its revenue projections in line using business analytics to better understand the variables affecting its fledgling business.
A host of analytics thought leaders share their best-practices and experiences at the Business Analytics Summit in Chicago.
As analytical people, we turn to the data to help us make sense of bad weather -- but don't always like what we learn.
We honor eight years of YouTube with a random collection of videos on data.
Randy Bartlett, author and longtime business analytics leader, shares his views on the analytically smart organizational structure.
AllAnalytics House Ad
AllAnalytics House Ad
AllAnalytics Video Blogs
Nate Silver Unplugged
Celebrity statistician Nate Silver at the SAS ...

1:37

2 comments
Marketing Your Analytics
Humana's Elizabeth Barth-Thacker tells us how her ...

2:21

0 comments
Amazon & Analytics
Amazon has expanded into the world of business ...

3:04

2 comments
The High Price of a Big Banana
There are no analytics to explain the volatility of ...

2:53

8 comments
Fraud Failure
Insurance companies have no excuse not to be using ...

2:26

2 comments
Teaching Users to 'Fish'
Rajeev Kaul, SVP of pricing at OfficeMax, explains ...

2:04

2 comments
Stuck on the Train
Cutting the number of cars on my commuter train was ...

2:22

11 comments
Strength in Numbers
Hear, hear! to the folks who count themselves among ...

1:32

1 comment
Fool's Gold
You don't always find what you want when you data-mine.

1:50

3 comments
Ford Revs Up With Big-Data
In an All Analytics interview, Mike Cavaretta, ...

2:44

2 comments
Get On With It!
Analytics professionals and SAS executives share ...

2:32

1 comment
Power to the Visualization
Analytics professionals who attended SAS's recent ...

2:03

1 comment
Mental Model Lifts Boeing
At Boeing, effective decision making comes down to ...

2:01

2 comments
What Users Want Next
Attendees at the recent SAS Executive Briefing in ...

2:31

4 comments
The Power to Discover
SAS CEO Jim Goodnight talks about new realities ...

3:36

1 comment
Quick Poll
AllAnalytics Videos
Visual Analytics, Instant ...
Analytics results delivered in visual form are ...

2:06

1 comment
Big Data, Fast Infrastructure
Big data calls for a high-performance analytics ...

3:35

6 comments
Red Hot Analytics
Jayson Tipp, Redbox VP of Analytics and CRM, ...

3:51

3 comments
Hotelier Checks Out Analytics
InterContinental Hotels Group has woven analytics ...

06:55

11 comments
Digital Audio
Latest Archived Broadcast
Companies today must be analytically agile to compete based on their data and analytics.
Live Video
On-demand Video with Chat
Analytics-fueled data visualizations can be a real game-changer when you're exploring the data and assessing results.
Readerboards
Have a question or topic but don't want to write a blog? Post it on our readerboards and get feedback from the community!
5/23/2013 8:57:20 AM
Noreen Seebacher on Ain't wasting time no more?
5/22/2013 8:55:01 PM
Noreen Seebacher on Adults to students
MORE READERBOARDS
Upcoming Events
for the Business and IT Communities
Executive forums with additional hands-on learning opportunities offered around the world
Each ideal for practitioners, Business leaders & senior executives
NYC, Boston, Philadelphia, Chicago, Minneapolis/St. Paul, Rockville, San Francisco, Los Angeles/Irvine, Dallas, Atlanta
AllAnalytics on Twitter
AllAnalytics Twitter Feed
Like Us on Facebook
Point/CounterpointBlog
LEADERS FROM THE BUSINESS AND IT COMMUNITIES DUEL OVER CRITICAL TECHNOLOGY ISSUES

The Current Discussion

Visual Analytics: Who Carries the Onus?
The Issue: Data visualization is an up-and-coming technology for businesses that want to deliver analytical results in a visual way, enabling analysts the ability to spot patterns more easily and business users to absorb the insight at a glance and better understand what questions to ask of the data. But does it make more sense to train everybody to handle the visualization mandate or bring on visualization expertise? Our experts are divided on the question.
The Speakers: Hyoun Park, Principal Analyst, Nucleus Research; Jonathan Schwabish, US Economist & Data Visualizer
MORE POINT/COUNTERPOINT BLOGS
About Us  |  Contact Us  |  Help  |  Register  |  Twitter  |  Facebook  |  RSS


Noreen Seebacher
Nate Silver Unplugged

5|23|13   |   1:37   |   (2) comments


Celebrity statistician Nate Silver shares some thoughts after delivering a keynote address at the SAS Government Leadership Summit in Washington, D.C.
Beth Schultz
Marketing Your Analytics

5|14|13   |   2:21   |   (0) comments


Elizabeth Barth-Thacker, a BI and informatics technology manager at Humana, tells us how her team is creating data transparency and building engagement with the business – with the help of an internal collaboration portal called Humanalytics.
Pierre DeBois
Amazon & Analytics

5|7|13   |   3:04   |   (2) comments


With Redshift, Amazon has expanded into the world of business intelligence. Could web analytic solutions for e-commerce be next?
Noreen Seebacher
The High Price of a Big Banana

5|6|13   |   2:53   |   (8) comments


There are no analytics to explain the volatility of banana prices in New York City.
Beth Schultz
Fraud Failure

5|3|13   |   2:26   |   (2) comments


Insurance companies have no excuse not to be using advanced analytics in their fight against fraud.
Beth Schultz
Teaching Users to 'Fish'

5|1|13   |   2:04   |   (2) comments


Speaking at SAS Global Forum Executive Conference, Rajeev Kaul, SVP of pricing at OfficeMax, uses a Chinese proverb to explain one of the reasons he's deploying SAS Visual Analytics.
Noreen Seebacher
Stuck on the Train

4|24|13   |   2:22   |   (11) comments


Cutting the number of cars on my commuter train was an analytics fail, simple as that.
Beth Schultz
Strength in Numbers

4|22|13   |   1:32   |   (1) comment


Hear, hear! to the folks who count themselves among analytics professionals and who will be gathering next week at SAS Global Forum.
Noreen Seebacher
Fool's Gold

4|15|13   |   1:50   |   (3) comments


You don't always find what you want when you data-mine.
Beth Schultz
Ford Revs Up With Big-Data

4|12|13   |   2:44   |   (2) comments


In an All Analytics interview, Mike Cavaretta, technical leader, predictive analytics at Ford Research & Advanced Engineering, shares how big-data is fueling vehicle decisions.
Beth Schultz
Get On With It!

4|11|13   |   2:32   |   (1) comment


Analytics professionals and SAS executives share how organizations can get on with their work so much faster when working in a high-performance and visual analytics environment.
Beth Schultz
Power to the Visualization

4|11|13   |   2:03   |   (1) comment


Analytics professionals who attended SAS's recent Executive Briefing in New York share how they think visual analytics might help their organizations get better value from data.
Beth Schultz
Mental Model Gives Boeing Lift

4|9|13   |   2:01   |   (2) comments


At Boeing, effective decision making comes down to this simple formula: QxA=E, as executive Jerry Allyne explained at the recent INFORMS analytics conference.
Beth Schultz
What Users Want Next

4|8|13   |   2:31   |   (4) comments


Whether working in major league sports, financial services, or healthcare, analytics, and data, professionals are checking out how visual analytics and high-performance technologies can help them optimize their environments, shrink their cycle times, and improve decision making, as attendees at the recent SAS Executive Briefing in New York share with us.
Beth Schultz
The Power to Discover

4|4|13   |   3:36   |   (1) comment


SAS CEO Jim Goodnight speaks with us at a recent SAS Executive Briefing about getting a feel for what's in your big-data and other new realities powered by advanced analytics.
Videos
Visual Analytics, Instant Insight

5|16|13   |   2:06   |   (1) comment


Dynamic data visualizations let analysts and business users interact with the data, changing variables or drilling down into data points, and see results in a flash. Advance your use of data visualization with tools that support features like auto-charting, explanatory pop-ups, and mobile sharing.
Videos
Big Data, Fast Infrastructure

2|14|12   |   3:35   |   (6) comments


No doubt your enterprise is amassing loads of data for fact-based decision-making. Hand in hand with all that data comes big computational requirements. Can traditional IT infrastructure handle the increasing number and complexity of your analytical work? Probably not, which is why you need a backend rethink. Big data calls for a high-performance analytics infrastructure, as Fern Halper, a partner at the IT consulting and research firm, Hurwitz & Associates, discusses here.
Videos
Red Hot Analytics

1|10|12   |   3:51   |   (3) comments


Redbox's bright-red DVD kiosks are all but ubiquitous these days, located in more than 28,000 spots across the country. Jayson Tipp, Redbox VP of Analytics and CRM, provides an insider's look at how the company has accomplished its phenomenal nine-year growth.
Videos
Hotelier Checks In With Analytics

12|14|11   |   06:55   |   (11) comments


InterContinental Hotels Group (IHG), a seven-brand global hotelier, has woven analytics into the fabric of its operations. David Schmitt, director of performance strategy and planning, shares IHG's analytics story and his lessons learned.