CASE STUDY
Digital disruption and interoperability regulations, such as the 21st Century CURES Act, are rapidly changing the ROI landscape – reducing data costs, empowering patients, mandating API exchange. Not transforming now means lower quality data, higher costs, lack of scalability.
30% decrease in per-record ROI processing cost |
60% faster ROI request fulfillment |
25% improved accuracy |
Company Overview
The client company is a leading healthcare release of information services company with a market valuation of $2 billion. The company counts employers, health plans, providers, government and life sciences among it's service segments.
Company Type | Company Size | Company Capitalization |
Digital Health & Wellness |
Mid+ Market | 2400+ Employees |
$1.5 B |
Business Problem
- Our client sought a digitally native ROI platform to reduce costs, boost flexibility and revenues while seamlessly integrating across analog processes.
- Key priorities were scalability, enhanced precision, and improved patient control aligning to shifting business and regulatory drivers.
Approach
- Our digital engineering team worked closely with the client to map current analog ROI processes end-to-end and then reengineered them to enable digital transformation.
- We built a cloud native solution integrating seamlessly with existing provider EMR systems and HIEs to extract clinical data (CCDA/FHIR).
- The system intelligently routes all ROI information requests to appropriate data sources leveraging APIs or batch interfaces, consolidates clinical data, and exposes it via FHIR APIs for consumption.
Technologies Used
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Results & Outcomes
Ideation to MVP deployment in 2 months | 30% decrease in per-record ROI processing cost | EHR interoperability with over 1M transactions / month, 75% record retrieval rate |
60% faster ROI request fulfillment | Improved operating margin by more than 100% | 25% improved accuracy |