Decision Support

Decision Support Budget is a web-based healthcare financial budgeting solution on the IBM Cognos TM1 software platform.



IBM Cognos® TM1® is enterprise planning software that can radically transform your entire planning cycle, from target setting and budget rollout all the way to reporting, analysis and reforecasting.

With Cognos TM1, you can rapidly analyze data, model business requirements and collaborate on plans, budgets, and forecasts to uncover hidden business options and optimize performance.

Decision Support assists the four major segments of the cost management cycle:

Powerful Analysis

Create and analyze sophisticated budgeting models and forecasts, even those based on large data sets.

Flexible Modelling

With a guided modelling environment, your business owners and analysts can develop and deploy even your most complex planning models.

Collaboration with many users

 Include input from thousands of users across the organization – exchange commentary and documents.

Top-down Planning

Create models and forecasts based on historical activity and run rates, linked to various drivers for more precise planning.

Departmental forecast

Create models and forecasts from the “bottom-up” so individual department managers can plan their annual budget

Expense Forecasting

Create multiple forecasts based on changes in volumes, such as patient days, outpatient visits, surgical procedures down to the detailed procedure code and DRG level.

Payroll level Forecasting

Using historical data the system can project the number of hours required with historical wage per hour to provide department managers the detail they need to effectively manage

Other revenue Forecast

Create models for “other” revenue forecasts for non-driver based revenue, such as grants and funds not impacted by volume.

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  • Develop and maintain cost standards
  • Allocate actual cost, overhead, and direct, variable, and fixed costs to calculate encounters
  • Run customized “what if” scenarios across your entire organization
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  • Identify episodes, understand profitability and define costs across the care continuum
  • Analyze various episode types, such as transplant cases, re-admissions, and CMS-defined BPCI1 and CJR2 bundles
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  • Integrate all aspects of the payer contract process, including negotiation, contract planning, expected payment calculation, compliance and monitoring
  • Analyze government and non-government payer contracts
  • Conduct robust pricing and reimbursement modelling
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  • Set various budget types, including operating, flex, employee-level, and job code budgets
  • Monitor financial performance trends through embedded workflow and dashboard reporting functionalities
  • Model impact of current and future key decisions
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  • Enable enterprise-wide visibility into everyday financial, clinical and operational impact with advanced dashboards
  • Customize and schedule your desired data to easily spot trends, benchmark results and measure performance


What People Are Saying

Affinity Decision Support’s drill-down is definitely our favorite feature. It allows for financial management decentralization and cuts down on telephone calls to AP and payroll offices

Katja Waldman

Director of Finance,

Executive and senior level managers consistently find the drill-down functionality in Affinity Decision Support useful and valuable, in some cases, on a daily basis. Affinity Decision Support’s reporting capabilities are the best available on the market.

Masood Peracha