Fortis Healthcare - Regional Analytical Node

Data Collection :

Pricing :

- Maintaining updated competitive intelligence

- Prices - Coordinating external agency data collection exercise, acquiring competition bills & price lists, whetting through cold calling

- Volumes - Leverage contacts, Coordinating external agency data collection exercise

- Specialty strength - updating specialty & hospital index

- Patient Insight - Feedback interviews with patients to judge opinion on prices, service quality etc.

- Overall market data - TPA rev trends, GIPSA/ non - GIPSA split, Retail vs. corporate insurance split, any new hospital coming up

Consumption :

- Hospital billing and consumption data - Collecting unit consumption and billing data on a fortnightly basis

- Competitive pricing - Collecting competitive prices for key high value drugs & consumables items and implants through cold calls, acquisition of competition bills etc.

- Supply chain & doctor committee recommendation repository - Maintaining and regularly updating (monthly) supply chain and doctor committee recommendations (CPTC) on preferred brands for drugs, consumables and implants

Other workstreams :

- Relevant data pertaining to other analytics, for e.g. capacity utilization, Conversion management, GC optimization, Volume analysis etc.

Analytics :

Pricing :

- Calculating essential data points for Fortis hospitals in region (bill to patient, volume trends, room split, channel split, GC/ bed day etc.)

- Carrying out complex analyses - VWD analysis, discretionary discount analysis, price elasticity, cost-benefit analysis of credit business empanelment etc.

- Opportunity sizing of proposed recommendations

Consumption :

- Calculating essential data for the region - Identifying brands providing best margins for D&C, calculating implant prices charged to patients, D&C procedure cost split by channel, item wise cost and price trends, operator wise costs and item usage trends, regular consumption for key procedures (for BOM creation)

- Complex analyses for recommendations - Advanced manipulation of large data sets with statistical methods like median, percentiling etc. and linking multiple large data sets for a consolidated picture across variables

- Revising recommendations based on market changes - Revisiting recommendations every 4-6 months based on changes in technology, supply chain negotiations, regulations, competition pricing picture etc.

- Opportunity sizing of proposed recommendations

Other workstreams :

- Conceptualizing and setting up approach for EBITDA improvement initiatives and operational efficiency measures

- Executing analytics using multiple data sources to enable decision support

Execution support :

Pricing :

- Understand internal hospital dynamics - doctor sentiment & issues, FD's strategic plan, patient feedback

- Understand local market dynamics - special discount schemes by competition, regulations (eg: Raj. govt. price check of select tests), seasonality

- Lead alignment below FD level - RD/FD level alignment to be done with Central pricing team support

- Last mile execution - entry into price list, ensure compliance

Consumption :

- Support units with compliance acceleration - Support FD / MS with regular operator level consumption costs, brand usage trends etc. and provide insights for accelerating compliance

- Understand local market dynamics - special discount schemes by competition on key D&C, implants, regulations,

- Last mile execution - Check modifications to price masters, procurement of only recommended items & validate actual charges levied to patients in bills

- Coordination with key stakeholders (central and unit)

- Coordination with central supply chain teams and central doctor committees for alignment and buy in on recommendations

- Alignment with unit teams below the RD / FD level

Other workstreams :

- Enable implementation of recommendations by involving relevant stakeholders, track compliance to ensure intended impact is realized

Tracking & reporting of key metrics :

Pricing :

- Preparing reports tracking essential metrics at granular level - bill to patient, vol, GC by room-channel

- Preparing accrual report at a quarterly cadence

- Red flag report - i.e. sudden vol dip in any procedure

Consumption :

- Preparing reports tracking compliance to recommendations

- Cost trends by payor and operator with granular insights on key items causing deviations

- Monthly performance indexes on key recommendations

- Providing a complete picture on compliance across all lever initiatives by coordinating with supply chain team

- Preparing accrual report at a quarterly frequency