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Humana presented at InterConnect 2017 on their use of business rules on z/OS. Humana is a 3M member health insurer and a user of IBM Operational Decision Manager (ODM), IBM's Business Rules Management System and has been focusing on using it to modernize some of their key mainframe systems - something that Humana is focusing on [...]

We have just posted a new white paper on Next Generation Claims Systems Decision Management delivers next generation claims systems that act immediately, increase agility, consistency and accuracy, improve customer satisfaction, speed response and reduce costs. Insurers can achieve significant speed-to-market gains, reduce fraud and create innovative new claims processes. Today’s insurance claims systems deliver [...]

First Look: Rapid Insight Update

I last got an update from Rapid Insight back in March of 2012. Since then they have made a number of updates to the products. To recap, Rapid Insight Veera is a data intelligence tool for creating analytical processes and modeling datasets (supporting an extract, transform, analyze metaphor) and Rapid Insight Analytics is a data [...]

I have been thinking about insurance claims processing a lot recently and working with a client to apply decision modeling to focus predictive analytics effectively in the claims process so this week's white paper is Next Generation Claims Systems with Decision Management Decision Management delivers next generation claims systems that act immediately, increase agility, consistency and [...]

I am speaking at the Insurance Analytics Symposium this week so I thought I would post a link to a white paper relevant to the insurance industry - Next Generation Claims Systems with Decision Management. Decision Management delivers next generation claims systems that act immediately, increase agility, consistency and accuracy, improve customer satisfaction, speed response and [...]

A new week and a new white paper. This week’s it’s all about Next Generation Claims Systems with Decision Management: Decision Management delivers next generation claims systems that act immediately, increase agility, consistency and accuracy, improve customer satisfaction, speed response and reduce costs. Insurers can achieve significant speed-to-market gains, reduce fraud and create innovative new [...]

Just a quick note today on the power of Decision Management in customer service. I am on my health plan's site, logged in and authenticated. I'm looking for some forms (because I have to fax a change in to them) but the site simply lists ALL the forms available. Why didn't it DECIDE which forms [...]

Another solution session, this time Bob and Rick from IBM focused on IBM's Signature Solution for Counter-Fraud, Waste and Abuse.  This is a classic Decision Management use case so I am looking forward to this one. Most fraud, they point out, is committed by insiders and goes undetected for 18 months. Frauds are also becoming a [...]

A new week and another new white paper. This week it is Next Generation Claims Systems with Decision Management Decision Management delivers next generation claims systems that act immediately, increase agility, consistency and accuracy, improve customer satisfaction, speed response and reduce costs. Insurers can achieve significant speed-to-market gains, reduce fraud and create innovative new claims [...]

I was struck over the weekend by this article on the BBC website - Call centre menu options catalogued by frustrated man. Essentially this guy has been documenting call center menus. As the article says "He started the project after growing frustrated about the number of options and amount of recorded information on call centre menus." [...]

Day 2 at IBM IMPACT kicked off with another IBM keynote. Dave Farrell got it started telling us that IBM got record attendance this year and that customers will be talking about how "business in motion" has helped them. First up is Jim King of BMI - a licensing and rights management company in the [...]

Silverlink – an update

Several years ago I did some work with Silverlink – speaking at a series of roadshows for their product – and I got an update recently. Silverlink focuses on helping healthcare organizations engage their members more effectively with personalized, multi-channel outreach. Silverlink works with health plans and pharmacy benefit managers to get their members to [...]

First Look – Angoss 8.0

I have previously written about Angoss and its products (most recently this post on their 7.5 release) and recently got an update. As a company Angoss is focused on delivering data mining and predictive analytics to improve performance in sales, marketing and risk. They have a set of products for desktop, client/server and cloud-based and [...]

IBM has two core Decision Management products, Operational Decision Management and Analytical Decision Management. As noted yesterday CIOs see a need to drive better real time decisions while CEOs see the need to differentiate their organizations by translating insight into actions (by making decisions). The Decision Management solutions are focused on optimizing decisions – not [...]

Dean Abbot wrote a great post recently "Why Defining the Target Variable in Predictive Analytics is Critical" in which he referenced the CRISP-DM approach to building predictive analytic models and talked about the importance of target variable selection in building an effective model. The thrust of Dean's post was the crucial point that because The [...]

Patrick Sugent wrote a nice article on A Predictive Analytics Arsenal in claims magazine recently. The article is worth a read and, if this is a topic that interests you check out our white paper on next generation claims systems or the series of blog posts on decision management in insurance that I wrote after I did a [...]

I got an update on Enterprise Miner™ from the folks at SAS recently. Enterprise Miner is their development tool for data miners and predictive analytic specialists and is a graphical environment for designing and executing the steps in the creation of a predictive analytic model. Enterprise Miner 7.1 was part of the SAS 9.3 release [...]

Erick Brethenoux, Pierre-Henri Clouin and Asit Dan presented on IBM’s Decision Management approach – a nice chance to see both the Business Analytics and WebSphere bits of IBM talking about the same problem. CEOs consistently tell IBM that volatility, uncertainty and complexity are continuing issues. CIOs with a mandate to transform the business are responding [...]

Predictive Analytics in Healthcare

I am attending the Computerworld Business Intelligence and Analytics Perspective conference and just gave the opening keynote "From Business Intelligence to Predictive Analytics." Following me is the team from Blue Health Intelligence about their innovative use of predictive analytics. The US healthcare system that is more expensive, less effective and less safe than many other [...]

We got a quick overview of SPSS Decision Management (see my post on SPSS DM 6 or indeed the whole blog for my view of this). SPSS Decision Management combines predictive analytics, business rules and optimization/simulation to optimize high volume decisions like “should I search this car at the border” or “should I investigate this [...]