PLAN PERFORMANCE ANALYTICS
Driving data-driven healthcare strategy through advanced benchmarking and performance analytics for Blue Cross Blue Shield Plans.
CLOUD DATA PLATFORMS
BUSINESS INTELLIGENCE
HEALTHCARE ANALYTICS
CLIENT
Blue Cross Blue Shield Plans
INDUSTRY
Healthcare Analytics
DURATION
14 Months
SERVICES
Business Intelligence, Data Integration, Cross-Functional Team Management
Plan Performance Analytics (PPA) is a cloud-based analytics platform designed to help Blue Cross Blue Shield Plans understand the drivers behind healthcare cost and utilization trends. By combining extensive national claims data with an intuitive Business Intelligence interface, the platform enables users to benchmark performance, uncover cost drivers, and identify strategic opportunities for improvement.
Through advanced filtering, benchmarking, and drill-down capabilities, PPA empowers health plans to move beyond surface-level reporting and explore the root causes of spending variation across procedures, diagnoses, and service categories.
$19M
1,000+
3 DATA SETS
Identified savings opportunity
PROCEDURE & DIAGNOSTIC DRILL-DOWNS
INTEGRATED HEALTHCARE DATA
BENCHMARK COMPARISONS
Granular analysis of bariatric surgery utilization revealed more than $19 million in potential savings opportunities through targeted care strategy adjustments.
Advanced analytics allow users to drill down from high-level service categories to individual CPT codes and diagnoses, enabling precise identification of cost drivers.
The platform integrates medical, pharmacy, and behavioral health data to provide a comprehensive view of plan performance and member care patterns.
Plans can compare their performance against national, regional, and peer-plan benchmarks to identify strategic opportunities for cost containment and improved care management.