The ServBeyond team has led several projects to help organize healthcare data to enable the collaboration, unification, and analysis by data scientists, program experts, and policymakers both at the Federal and State Level. Our team has demonstratable experience in:

i) Managing health care claims data 

ii) Interpreting analytics design requirements 

iii) Implementing enhancements and automation that optimize data analytics and healthcare informatics usability

Highlighted Past Performance: 

Maryland Health Services Cost Review Commission (HSCRC) - Multi-Payer Claims Analytic Tool (MCAT) Development and Implementation 

The ServBeyond team is leading the Program Management and Agile Software Development design and development of a system to meet the business needs of the Maryland Health Services Cost Review Commission (HSCRC) for a multi-payer claims analytical tool (MCAT tool. The MCAT will automate the aggregation, visualization, and report generation of Medicare FFS claims data (from CCW) enabling staff and others to perform Total Cost of Care (TCOC) analysis. 

Under the recently revised TCOC model, the HSCRC is moving towards a system in which hospitals and other providers are responsible for a beneficiary’s total cost of care. As part of this new Model, the State is monitoring an expanded set of measures and focusing on new and additional analysis to shed light on how total cost of care can be contained. The Maryland TCOC Model sets the state of Maryland on course to save Medicare over $1 billion by the end of 2023, and the Model creates new opportunities for a range of non-hospital health care providers to participate in this test to limit Medicare spending across an entire state. The Maryland TCOC Model builds on the success of the Maryland All-Payer Model by creating greater incentives for health care providers to coordinate with each other and provide patient-centered care, and by committing the State to a sustainable growth rate in per capita total cost of care spending for Medicare beneficiaries.