Sunday, September 3, 2023

The Applications and APIs for Insurance Administration and payment analytics:

 


As with the broad industry trend across rapid application development scenarios, microservices and single page applications are abundant across the healthcare administration and analytics business purposes. The promise of microservices is the separation of concern among business purposes with deep isolations when necessary, including the data stores. They are also independently testable and provide a medium for continuous deliverables to stakeholders. The promise of single page applications is the simplicity of describing modular components within the web pages and for reusability across workflows. Together they empower a variety of scenarios that require the spectrum of compute intensive to data intensive capabilities.

We leave the infrastructure provisioning and the associated operational services such as logging, registry and monitoring out of this discussion and focus instead on the development of applications and api services. Although the choice of infrastructure and the development of the application are not completely divested of one another and must have mutual considerations, it suffices to say that the business capability versus application development boundary is customer facing while the infrastructure provisioning and application development boundary is backend facing.

Among the several aspects of application development, dedicated data services such as catalog or inventory can be separated from the rest of the capabilities such as claim analytics, cob rules and commercial lines of business. The api services by virtue of their number often suffer from consistency and framework that the infrastructure demands and are developed in house by those business divisions. They also become bloated as division tend to take on solutions to common problems that do not necessarily deal streamline with the business capabilities.

The same can be said about the components in the single page applications. Many applications rediscover the same browsing, filtering, and editing capabilities that do not necessarily pertain to a line of business. This leads both the applications to develop a common repository for reusable modules that become more of a limitation rather than a facilitator of consistency and capability. If there are attributes left out of the common definitions and the derived instance cannot add them, they can no longer use the common definitions and must write one from scratch.

The single page applications essentially display tabular data. They are not data entry intensive or require complex long running calculations. This makes the entire user workflows have short duration but more interactive. Some of the workflows are read-only operations often requiring checking on status or model predictions that run independently. These imply that the analytical queries and logic are also saved external to the applications and sometimes external to the API. Grouping of queries is also dedicated to the business purpose and often require little or no grouping. This leads to a different set of requirements on the analytics and reporting side than on the application and processing side.

Finally, the applications require modernization as much as the legacy platforms do. For example, the dominant statistical platform is SAS and this is now universally replaced by Python and R packages.

#codingexercise 

public static int[] canonballsIterative(int[] A, int[] B) {

        for (int j = 0; j < B.length; j++) {

            int h = B[j];

            for (int i = 0; i < A.length; i++) {

                if (A[i] >= h ) {

                    if (i == 0) { break; }

                    if (i > 0) {

                        A[i-1] += 1;

                        System.out.println("h=" + h + " i=" + i + " A: " + printArray(A));

                        break;

                    }

                }

            }

        }

        return A;

    }

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