Health Industries

Kautilya for Healthcare
The future profits of healthcare insurers depend on their ability to display high value to subscribers, comply with policy, correspond efficiently with their network, and better evaluate and administer their performance. To serve the needs of these companies, Kautilya provides an Enterprise Reporting Application Platform that integrates data from internal and external sources to create interactive Web reports and graphics, dashboards, spreadsheets, and company analytics. These applications blend effortlessly with customer service portals, produce difficult compliance reports, provide personalized customer communications, and improve care and service quality to maintain client loyalty and profits.

The Need for Enhanced Online Services
To maintain growth and profits in an increasingly synchronized business, healthcare industry must use quality service as a primary viable differentiator while keeping a tight rein on associated IT expenses. As a result, organizations are using Web-based portals and reporting to give customers and care providers comprehensive, cost-effective, personalized views of their care, claims, and plans.

In addition, to maintain their attractiveness and profitability, payer organizations must plan and price products wisely and monitor their performance closely.

Kautilya Enterprise Reporting Applications create and deliver Web pages, electronic and printed reports,self-service portals, dashboards, spreadsheets that adopt your site’s look and branding

Supporting Healthcare Initiatives
Kautilya is a powerful Hybrid Enterprise Reporting Tool that has been built grounds up and provides the important features of an ETL, ER as well as BI tool thus helping build, manage and securely deliver, high quality, dynamically generated web reports to

Kautilya is an Enterprise Reporting Application that provide members greater value and control, communicate effectively with network participants, share compliance information effectively, and ensure cost effective, quality healthcare.

Kautilya does so by interacting with multiple data sources- including claims systems, billing systems, relational databases, data warehouses and marts, enterprise applications, and other internal and external data sources-and producing clear, concise electronic and printed content in highly formatted, full-color reports, Web pages, portals, spreadsheets, and executive dashboards.

Kautilya improves customer and provider communications by delivering information to all participants as interactive reports, graphics, and pages that blend seamlessly with Web sites and portals, and
. Give partners and providers the case, claim, and coverage information they need
. Create schedules, invoices, policy statements, and hard-copy reports for mailing or printing
. Provide employers with reports that summarize claim, payment, and account performance to justify rate increases and policy renewals
. Supply accreditation information to help members select care providers.

Significance: Deliver Better Online Services to Network Members
Medical expenses now consume over 15% of Indian consumer budgets as organizations require employees to pay more of their insurance premiums. To justify higher prices in a competitive environment, healthcare payers must provide higher quality content that members and administrators can access simply and securely.
Kautilya provides a comprehensive platform for building self-service Enterprise Reporting Applications that:

. Deliver secure, personalized information in a cost-effective manner
. Present unified views of account information even when data spans multiple internal systems, third-party services, and newly-merged divisions
. Deliver claims, payments and plan information to audiences with widely varied computer skills
. Produce highly-designed statements, invoices, provider lists and other Web pages that adopt the native look-and-feel of corporate sites and portals
. Scale to support hundreds of thousands of customers Communication: Deliver Better Information to

Feature: Ensure commercial, Quality Healthcare
To control costs and maintain quality healthcare, insurers must constantly assess the performance of hospitals and physicians in providing appropriate and cost-effective care. Kautilya gives healthcare payers a platform for creating zero training Web reports, ready-to-analyze spreadsheets, management dashboards and advanced analytics that:
. Evaluate the profitability of plans, member groups and care facilities by analyzing revenues and utilization data
. Assess the effects of rate increases on membership rolls
. Monitor key indicators such as average premium coverage, remittance duration
. Track episode percentages and cost trends by disease, procedure, and service
. Aggregate survey and accreditation to compare care quality across providers and facilities

Kautilya gives insurers the reporting power and the directory, security, and information integration they need to:
. Adapt quickly to ever-tightening regulatory changes
. Integrate data from clinical, claims, patient management, asset management, ERP, and other enterprise systems into required reporting formats
. Maintain tight, subscriber- and case-level data security

Healthcare Enterprise Reporting Applications		Regulatory Compliance Reporting
Kautilya gives healthcare industry the tools and technologies they need to build applications and create the online and printed content they need to serve all members of their care networks.		Kautilya’s data integration, security, and reporting capabilities make it an indispensable solution for creating: • State and local regulatory reports • Prompt-pay status report submissions
Subscriber and Partner Communications		Provider and Plan Performance Analysis
Kautilya delivers portal-ready reporting and information-sharing applications that include: • Expanded consumer disclosures and notices • Provider search directories, authorization, and quality assessments • Drug pricing policies and schedules • Summary employer reports for justifying rate increases		Kautilya empowers healthcare industry with interactive reports, live spreadsheets, and analytics in the form of: • Revenue, utilization and profitability analyses by product, region, member, site, provider, etc. • Key financial and account performance indicator reports and dashboards • Plan utilization and profitability analyses • Regional and provider performance reports and graphs • Customer growth, retention, and service monitoring • Premium increase analyses • Disease, procedure, and service trend analyses • Accreditation report-card integration and analyses • Sales channel performance monitors