MedInsight Overview MedInsight is an established, integrated Management Information System (MIS), Decision Support System (DSS) and data

a warehouse platform specifically developed for health insurance. It is in its 12th year and version 7. . MedInsight offers sophisticated data cleaning, reconciliation, analysis, benchmarking and report generation function. Since 1997, MedInsight has been implemented across more than 35 clients. According to a recent Gartner Group review, MedInsight was identified as the most popular business intelligence tool in the healthcare insurer market. Milliman maintains a cluster of about 70 servers in its data center, MedInsight currently handles about 80 million lives and processes about 2 billion transactions. MedInsight is extremely versatile and easily scalable as it currently manage clients ranges from a hundred gigabytes to a few terabytes. Significantly adapted to Indian health insurance data. Used during a proof of concept demonstration with a PSU insurer in 2006, conducted with historical data of 3 years, approx. 5 million lives and 300,000 claims. Compatible with TAC defined Table A, B and C format. Utilized for analysis of sample data released by IRDA in 2007.

MedInsight Architecture

MedInsight Functions Receive Source Data Extract, Transform and Load Data Run MedInsight Engines Refresh Report Refresh Online Analytical Processing (OLAP) Cubes Generate Miscellaneous Extracts (optional) Documentation

MedInsight Technical Overview Data warehouse MedInsight is modeled on the data warehouse design principle known as Star Schema.

MedInsight consists of five parts databases, reports, OLAP (online analytical processing), backups (optional), and client computers. The dimension and fact tables make up the OLAP cubes. The cubes are a part of objects logically defined as Data Marts. Data Marts contain specialized data derived from the Data warehouse and are meant to be tactical to meet specific requirements. MedInsight has data marts for Enrollment, Claims, Medical costs etc

MedInsight contains approximately 80 standard reports that can be run through user-input parameters to generate well over 5,000 different views of the data Components of portal Dashboard Report Library Analytic tools Reference library Enrollment MedInsight Reports Cubes Documentation Claims Custom Reports Extract Builder User Manual Clinical Financial

Infrastructure setup for a single installation

Solution Architecture Data Management with MedInsight MedInsight will include:

An ETL tool/interface OLAP engine Analysis tools (cubes and reports) Other applications/utilities/tools to gather and deliver data

Our methodology facilitates modeling and integrating a large volume of operational data and sources. The data will be represented in multidimensional format to enable highly precise visualization of data by summarizing, aggregating, drilling down, slicing and dicing.

MedInsight will provide the Users with intuitive and secure browser-based interface to conveniently search, combine and analyze this data repository that enables data visualization at varying granularity and allows for data import in various formats Solution Architecture Centralized 2-tier solution For a comprehensive, enterprise-wide solution based on centralization of data as also with a projected significant growth in enrollments and claims, we propose implementing a centralized 2-tier data warehouse solution for Client

Solution Architecture 2 - Tier Components: Source Data: Client database consisting of consolidated Enrollment and Claims data from various sources.

Firewall: Monitor, control and restrict all inward connections to the server. Will have a Router to connect to the warehouse servers Source Database: In a single Tier architecture this server contains the data as well as the application for querying and analyzing. It contains the data warehouse and data marts depending upon overall data size and functionality. In case of two-tier, this would contain the source (operational or legacy) data (historical, pre-processed) and the ETL tool. This is the back-end server. This will also be the FTP server for source data transfer. In this case the data is simply stored in 2-dimensional format within the RDBMS. Data warehouse/Cubes/Reporting server: In case of two-tier architecture, this server would contain Data marts and cubes which are objects in data warehousing that hold processed, specialized, aggregated, summarized and multi dimensional data for querying, analysis and reporting. The web portal (application or front-end) can also reside on this server. The browser-based portal delivers information to the Users through dashboard, reports and an interface for drill-downs and roll-ups through cubes. 2 Tier: Access to internet (external) and intranet (internal) users

Scalability to N-Tier Additional application/middleware layer(s), containing business rules, is segregated . This is a scalability related approach and can be implemented based on issues such as surge in data, dataload balancing, increased analytics, performance issues etc. A scenario for this could be an unusually increasing demand on the underlying data warehouse system. Implementation steps Project Scoping and Planning Infrastructure Setup Base MedInsight Installation Data Procurement Data Mapping Run Benchmarks Run Analytics and Setup Reports Run Cubes Portal Set -up and Deployment User Acceptance Testing

Training Move to Production

Environment Minimum Hardware 64-bit two rack/tower servers (database server and OLAP/Reporting server) with quad core processors, at least 16GB RAM, RAID (0/1/5/6) with Hot plug hard drive bays Software Windows Server Enterprise 2003 (supports 64-bit) Window Server Client Access Licenses Microsoft Terminal Client Access License SharePoint portal server Anti Virus Enterprise Edition MS SQL Server 2005/2008 (with MSRS, SSIS, Analysis Server) or Oracle 10i+ .Net framework Office web components