Prometheus for Health Funds

Health insurance funds operate in a dynamic regulatory and competitive environment and face considerable daily challenges in extending membership, in understanding product margins, in monitoring the key drivers behind claims, in assessing the impact of changes to legislation on membership and profitability, etc. Timely and accurate business intelligence is vital to ongoing sustainability, growth and success.

Prometheus has used its experience with health funds and in the health sector generally, to formulate and develop PBI for Health Funds.

• PBI for Health Funds is a pre-built business intelligence solution for the health insurance industry. It combines knowledge of the industry with the power of the PBI software suite. Relationships between key data types such as membership, coverage, revenue, claims, charges, and benefits, are linked and combined to generate the key measures and indicators for health funds, such as gross margins and profitability by customer’s demographics and product.
• PBI for Health Funds is designed to provide executives, managers, and staff with the ability to immediately analyse company data and to immediately answer both strategic and operational questions about the business. Complex queries can be designed in seconds through a simple menu system. Results may be displayed as tables, graphs, or maps, and then easily exported to other applications such as MS Word and MS Excel.
• PBI for Health Funds is designed to be installed and configured rapidly. Health fund staff need only assemble the required data and metadata to feed the system.

PBI for Health Funds provides Australian Health Fund executives with powerful analysis capability to answer business performance questions immediately.

To date over 24 Australian Health Funds use the Prometheus for Health Funds solution to analyse and answer strategic and operational questions related to their businesses.

Please see the 'PBI Health Industry Brochure' Flyer for further information.