the future of benefits technology: architecting the cloud

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1 © 2015 Benefi+ocus.com, Inc. All Rights Reserved The Future of Benefi+ocus Technology: ArchitecCng the Cloud Don Taylor, CTO | @dontaylorsc

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Page 1: The Future of Benefits Technology: Architecting the Cloud

1  ©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved  

The  Future  of  Benefi+ocus  Technology:  ArchitecCng  the  Cloud  

Don  Taylor,  CTO    |  @dontaylorsc  

Page 2: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   2  

1.  Architecture  Discussion  with  Fred  Robinson,  Chief  Architect  

2.  History  of  Storage,  Databases,  File  Systems  and  Networks  

3.  Benefi+ocus  Data  Cloud  

4.  Benefi+ocus  AnalyCcs,  Profile  &  PersonalizaCon  

Page 3: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   3  

FRED  ROBINSON  Chief  Architect  

Page 4: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   4  

HISTORY  OF  STORAGE,  DATABASES,    FILE  SYSTEMS  &  NETWORKS  

Page 5: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   5  

1950–60   1970   1980   1990   2000   2010  

Storage  

First  5MB  HD   Floppy  Disk   2.52  GB  HD   Zip  Drive  &  DVD   First  TB  HD  Helium  filled    10TB  HD  

Databases  CODASYL  &  IMS  

RelaConal  Databases  

Object  Oriented  Databases  

Client/Server  Pla+orms  

XML  &  NoSQL  Databases   New  SQL  Databases  

File  Systems  

BASIC  CP/M  &  QDOS  

(FAT)   MS-­‐DOS  &  OS/2   NTFS  &  DFS   GFS  &  HDFS   Amazon  S3  

Networking  

SABRE  Online  2  Mainframes   CBBS   Usenet  

Netscape  InformaCon  Highway  

Facebook  &  Social  Media  

3.5  Billion  Searches  Per  Day  

Page 6: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   6  

Big  Data  •  Unwieldy  data  -­‐  Peta-­‐Bytes  (250  bytes;  1024  terabytes,  or  1  million  gigabytes)  •  Structured  &  unstructured  data  •  Exceeds  convenConal  methods  for:  -  Storing  -  Processing  -  Backing  up  -  ImporCng  &  ExporCng  -  SupporCng  heterogeneous  data  

•  Requires  new  technical  &  scienCfic  skills  

Page 7: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   7  

2013   2014  

90%  of  data  today    was  created  in  the    last  2  years  

Page 8: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   8  

Structured  Data  

Census  Spreadsheet  

Payroll  or  HRIS  database  tables  

Claims  data  warehouse  

Unstructured  Data  

Page 9: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   9  

Structured  data  alone  leads  to  an  incomplete  picture…  

   

   

           

   

       

   

       

   

   

   

   

   

       

Page 10: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   10  

Structured  data  with  all  other  data  leads  to  a  complete  picture…  

   

   

           

   

       

   

       

   

   

   

   

   

   

           

Page 11: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   11  

Data  Cloud  Pulling  it  all  together  

•  Structured  &  Unstructured  •  Easy  ReplicaCon  •  Simple  API  •  Huge  Amounts  of  Data  

New  SQL  

API  

RelaConal  

Map  Reduce  

No  SQL  

Distributed  File  System  

Page 12: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   12  

BENEFITFOCUS  DATA  CLOUD  Leveraging  the  Data  Cloud  

Page 13: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   13  

Page 14: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   14  

Data  Science  BenefiXocus  

Storage  

PredicCve  Model  

Processing  

VisualizaCon  

The  Benefi+ocus  Pla+orm  

Page 15: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   15  

HDFS  

Storage  

Dev/  Consumer/  ElecCon  

QA/  Consumer/  Personal  

Dev/  Consumer/  Personal  

QA/  Consumer/  ElecCon  

Client  User  

AcCve  MQ  Consumer  Shopping  

Channel   Sink  

Channel   Sink  

Channel   Sink  

Channel   Sink  

Source  

Source  

Agent/Dev/Consumer  

Agent/QA/Consumer    

Flume  Backup  Server  (Clone  of  Above)  Flume  Failover  Process  

JMS  

APACHE  FLUME  SERVER  

Tx  History  

Personal  

Survey  

OfferStart  

Eligibility  

Recommend  

Guided  Shop  Q&A  

Plan  Compare  

ElecCons  

Page 16: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   16  

Map  Reduce  

Machine  Learning  

PMML  Co

mpliant  Engine  

API  

VisualizaCon  

Databases  

Decision  Support  

Formula  

Spreadsheet  

LogisCc  Regression  Neural  Networks  Naive  Bayes  

PredicZve  Model  

Page 17: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   17  

Input:  Unstructured  Data  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:1  

PPO:10  

HDHP:1  

HDHP:1  

HDHP:1  

HDHP:1  

HDHP:1  

HDHP:1  

HDHP:1  HDHP:7  

PPO  HDHP  

PPO  

PPO  

PPO  PPO  

PPO  

PPO  HDHP  

HDHP   HDHP  HDHP  

HDHP   HDHP  PPO  

PPO   PPO  HMO  

HMO  HMO  

MAP  

MAP  

REDUCE  

REDUCE  

Output  Data  Sort  &  Count  

Processing  

Page 18: The Future of Benefits Technology: Architecting the Cloud

VisualizaZon  

Page 19: The Future of Benefits Technology: Architecting the Cloud

VisualizaZon  

Page 20: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   20  

Data  Access  Layer  

Services  Router                              Enterprise  Services  

eEnrollment   eSales   eBilling   eExchange   Marketplace   CommunicaCon  Portal  

AP  

Business  Logic  Methods  

Developers   Brokers   3rd  Party   Members  Consumers  Admins  

Portals  

NaZve  Device  Apps    Mobile  

(phones,  tablets,  watches)  

Content    Managem

ent  

Meta  Data  Arch  

Branding  

JS  Dust  

HTML5  CSS  

Android  iOS  

Responsive  

Batch  In  

Batch  Out  Java  

Camel  Drools  

Mock  Services  

Java  

Content,  Workflow,  Branding  and  Rules  

Business,  MDD,  Meta  and  UI  

OLAP   Document   RelaConal  File  System  

High  Availability  

JSON  

Consumers  

Real  Time  In  

Real  Time  Out  

The  BenefiXocus  PlaXorm  

Page 21: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   21  

BENEFITFOCUS  ANALYTICS,  PROFILE  &    PERSONALIZATION    

Page 22: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   22  

Page 23: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   23  

Core  AnalyZcs    Health  Plan  Budget  vs.  Actual  Spend  Enrollment  Counts  Cost  by  Benefit  Type  Per  Employee  Cost  Trend  Per  Employee  Cost  vs.  Benchmark  Drug  Cost  by  Category  In-­‐Network  UClizaCon  Percentage  Claimant  Cost  DistribuCon  Top  5  Episode  Categories  PrevenCve  Screening  ParCcipaCon  Aggregate  Biometric  Results  Chronic  CondiCon  Care  Compliance    

Page 24: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   24  

Core  AnalyZcs    Health  Plan  Budget  vs.  Actual  Spend  Enrollment  Counts  Cost  by  Benefit  Type  Per  Employee  Cost  Trend  Per  Employee  Cost  vs.  Benchmark  Drug  Cost  by  Category  In-­‐Network  UClizaCon  Percentage  Claimant  Cost  DistribuCon  Top  5  Episode  Categories  PrevenCve  Screening  ParCcipaCon  Aggregate  Biometric  Results  Chronic  CondiCon  Care  Compliance    

Advanced  AnalyZcs    

Financial  &  Benchmark  Analysis  Detailed  Analysis  

Clinical  &  Risk  Management  Trend  Analysis  

PrescripCon  Analysis  Eligibility  Analysis  

Member  Based  Analysis  Flexible  Query  Tool  

Page 25: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   25  

Core  AnalyZcs    Health  Plan  Budget  vs.  Actual  Spend  Enrollment  Counts  Cost  by  Benefit  Type  Per  Employee  Cost  Trend  Per  Employee  Cost  vs.  Benchmark  Drug  Cost  by  Category  In-­‐Network  UClizaCon  Percentage  Claimant  Cost  DistribuCon  Top  5  Episode  Categories  PrevenCve  Screening  ParCcipaCon  Aggregate  Biometric  Results  Chronic  CondiCon  Care  Compliance    

Advanced  AnalyZcs    

Financial  &  Benchmark  Analysis  Detailed  Analysis  

Clinical  &  Risk  Management  Trend  Analysis  

PrescripCon  Analysis  Eligibility  Analysis  

Member  Based  Analysis  Flexible  Query  Tool  

BenefiXocus  Profile    

Demographic  informaCon  management  

PersonalizaCon  Preferences  Privacy  preferences,  disclosures  

and  consent  Consumer-­‐provided  data  SubscripCon  sepngs  Personal  data  sources  

   

Page 26: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   26  

Core  AnalyZcs    Health  Plan  Budget  vs.  Actual  Spend  Enrollment  Counts  Cost  by  Benefit  Type  Per  Employee  Cost  Trend  Per  Employee  Cost  vs.  Benchmark  Drug  Cost  by  Category  In-­‐Network  UClizaCon  Percentage  Claimant  Cost  DistribuCon  Top  5  Episode  Categories  PrevenCve  Screening  ParCcipaCon  Aggregate  Biometric  Results  Chronic  CondiCon  Care  Compliance    

Advanced  AnalyZcs    

Financial  &  Benchmark  Analysis  Detailed  Analysis  

Clinical  &  Risk  Management  Trend  Analysis  

PrescripCon  Analysis  Eligibility  Analysis  

Member  Based  Analysis  Flexible  Query  Tool  

BenefiXocus  Profile    

Demographic  informaCon  management  

PersonalizaCon  Preferences  Privacy  preferences,  disclosures  

and  consent  Consumer-­‐provided  data  SubscripCon  sepngs  Personal  data  sources  

   

Personalized  User  Experience  

 Personalized  eligibility  content  

Scenario-­‐based  modeling  RecommendaCon  engines  PredicCve  health  analyCcs  

Financial  wellbeing    personalized  goals  

Personalized  coordinaCon  of  partner  ecosystem  data    

and  interacCons      

Page 27: The Future of Benefits Technology: Architecting the Cloud

©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved   27  

The  Next  5  Octobers  

Hadoop,  Eligibility,  Claims,  

Core  &  Advanced  AnalyCcs  

Social  Media,  Web  Trends,  Benefi+ocus  

Profile  

Bio  Metrics,  Log  Data,  

Benefi+ocus  PredicCve  Modeling  Language  

Benefi+ocus  VisualizaCon  

Toolkit,  Benefi+ocus  Data  

Cloud  API  

Advanced  PersonalizaCon,  RecommendaCon  

Engine  

2015   2016   2017   2018   2019  

200  TB   400  TB   750  TB   2  PB   4  PB  

Page 28: The Future of Benefits Technology: Architecting the Cloud

28  ©  2015  Benefi+ocus.com,  Inc.  All  Rights  Reserved  

The  Future  of  Benefi+ocus  Technology:  ArchitecCng  the  Cloud  

Don  Taylor,  CTO    |  @dontaylorsc