Digital Transformation of ROI Business

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.

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.

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

Results & Outcomes