Healthcare

• Claims review prioritization
  • payers picking which claims should be reviewed by manual auditors
• Medicare/medicaid fraud
  • Tackled at the claims processors, EDS is the biggest & uses proprietary tech
• Medical resources allocation
  • Hospital operations management
  • Optimize/predict operating theatre & bed occupancy based on initial patient visits
• Alerting and diagnostics from real-time patient data
  • Embedded devices (productized algos)
  • Exogenous data from devices to create diagnostic reports for doctors
• Prescription compliance
  • Predicting who won’t comply with their prescriptions
• Physician attrition
  • Hospitals want to retain Drs who have admitting privileges in multiple hospitals
• Survival analysis
  • Analyse survival statistics for different patient attributes (age, blood type, gender, etc) and treatments
• Medication (dosage) effectiveness
  • Analyse effects of admitting different types and dosage of medication for a disease
• Readmission risk
  • Predict risk of re-admittance based on patient attributes, medical history, diagnose & treatment

• CRM & utilization optimization

• Claims coding

• Forumlary determination and pricing

• How do I get you to use my card for auto-pay? Paypal? etc. Unsolved.

• Finance
  • Risk analysis
  • Automating Excel stuff/summary reports