SAS Introduces Advanced AI-Powered Health Care Analytics Solutions for Payers and Providers

SAS Unveils SAS® Health Cost of Care Analytics



SAS, a leader in data analytics and artificial intelligence, has recently announced the launch of their latest healthcare-focused solution, SAS® Health Cost of Care Analytics. Set to be available in July 2025, this innovative tool is designed specifically for healthcare payers and providers, facilitating more effective decision-making regarding the quality and cost of care.

As healthcare organizations grapple with rising costs and the urgent need for improved patient care, the new analytics solution harnesses the power of SAS's data and AI platform, SAS® Viya®. By leveraging health claims data, it allows organizations to construct and analyze claims as episodes of care. This involves stitching together various codes and patterns throughout the patient care journey, from initial detection through treatment and ongoing management.

The benefits of SAS Health Cost of Care Analytics are multifold. It enables healthcare organizations to:

  • - Construct Cost-Effective Pathways: By analyzing data effectively, organizations can identify and implement more cost-effective treatment pathways, thereby reducing unnecessary hospital admissions and minimizing the length of patient stays.
  • - Utilize Flexible Definitions: Users can define episodes of care flexibly, utilizing clinical definitions that suit their needs. This holistic approach allows providers to gain a comprehensive view of the costs associated with different care phases and patient outcomes.
  • - Measure Value and Outcomes: The analytics solution categorizes healthcare services into value-added or potentially avoidable costs, aiding organizations in measuring quality and efficiency more effectively by automatically calculating expected costs and risk adjustments.
  • - Enhance Risk Management: With functionalities that allow for risk-based calculations, providers can compare performance more accurately, establishing benchmarks for cost and quality relative to patient severity.
  • - Streamline Data Management: The system offers simplified data ingestion into a common data model, promoting better data validation and management practices across the organization.

Brett Davis, Senior Manager of Health Care Advisory at SAS, emphasized the importance of utilizing data-driven insights to enhance healthcare quality and efficiency. He stated, "As healthcare incentives focus in on value, providers and payers must identify the drivers of cost, quality, and outcomes to make decisions about protocols and provider contracts."

Ready-Made AI Models for Health Care



In addition to the SAS Health Cost of Care Analytics, SAS is also introducing ready-made AI models designed to address specific business challenges faced by healthcare payers and providers. These models, forged from years of expertise in data analytics, include:

SAS Medication Adherence Risk


This model focuses on improving patient health outcomes by assisting managed care organizations in identifying areas requiring intervention to promote better medication adherence among patients. Enhanced engagement leads to improved quality metrics and reduced healthcare costs.

SAS Document Analysis


This intelligent document processing pipeline extracts contextual data from scanned medical documents, creating structured datasets that facilitate more efficient evaluations by medical reviewers. Remarkably, this model has demonstrated a 400% efficiency gain in comparison to manual reviews at one of the largest health insurers in the U.S.

SAS Payment Integrity for Health Care


Focusing on preventing billing errors, fraudulent claims, and discrepancies, this model empowers healthcare programs within both private and government-funded insurance sectors to maintain regulatory compliance while efficiently managing costs associated with fraud, waste, and abuse.

The Future of Health Care Analytics


SAS will be unveiling these groundbreaking solutions at AHIP 2025, the key annual conference for the health insurance industry, in Las Vegas. Attendees will have the chance to experience live demonstrations, gain insights from experts, and explore how these innovative analytics tools are poised to transform the landscape of healthcare.

As the healthcare industry continues to evolve amidst ongoing challenges, solutions like SAS Health Cost of Care Analytics provide the necessary tools to navigate these complexities and bring about substantial improvements in both patient care quality and cost efficiencies. With SAS’s commitment to leveraging AI for real-world applications, healthcare organizations are better equipped than ever to transform data into actionable insights that improve lives.

For more details on how SAS is at the forefront of analytics in healthcare, readers can explore their extensive offerings here.

Topics Health)

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