Healthcare Insurance Data Models

Countries, companies and individuals are spending an increasing percentage of their income on healthcare services. The United States spends $1.65 trillion a year on healthcare representing 15% of the gross domestic product.

The ability to plan and apply IT technology is one of the key means to reduce and control costs by healthcare organizations.

These benefits are derived by the ability to efficiently define and use data in such a manner that IT systems meet today's requirements and have the designed flexibility to meet tomorrow's legal and market requirements.

Systems based on poorly-defined or 'stovepipe' data will have to be redesigned or replaced, which represents significant costs and repeated organizational disruptions.

Support for data mining, analytics, data marts and data warehousing requires a cohesive enterprise-view of data in which data is defined as a corporate asset applicable across the entire organization.

The Healthcare Insurance industry models consist of integrated Enterprise, Business Area, Data Mart and Data Warehouse logical data models developed for organizations in the healthcare insurance and provider industry.

The Healthcare Insurance data models establish a comprehensive data architecture supporting requirements by member services, claims, payments and related activities.

"ADRM Vertical Industry Data Models"
(212KB pdf)

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