Case Study - Reduce quote to cliams

CASE STUDY

A large health plan on the East Coast increased speed-to-market and successfully became the first company to publish plans on the Medicare Advantage marketplace using eMedicareSync™.

Faster speed-to-market

Improved speed-to-market to successfully become the first company to publish plans on the Medicare Advantage marketplace.

Improved quality of care

Enabled integrated data operability for data-driven and collaborative MA product management and care management.

Access to single source of truth

Leveraged a single source of truth to automate CMS PBP bid submissions, auto-generate documents, and elevate productivity.

Optimize Medicare Star ratings

Helped manage last-minute CMS changes, decrease submission errors, lower admin costs, and risk of penalties to optimize CMS Star ratings.

Overview

One of the largest and not-for-profit health plans on the East Coast was struggling with their Medicare Advantage (MA) plans management. They were unable to integrate data from multiple sources into a single integrated system to get a 360-degree view of information and drive more accurate and efficient data and processes across the health plan. They were looking for ways to eliminate manual legacy processes, automate MA product/plan configuration and document generation processes, improve the quality of care, patient engagement and consolidate data at one place to accelerate speed-to-market.
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