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Blue Cross Blue Shield Michigan

Blue Cross Blue Shield of Michigan uses Informatica MDM to reduce the cost of data by opening up new opportunities to streamline provider reimbursements, improve patient safety, and enhance care delivery.

Blue Cross Blue Shield of Michigan administers health benefits to 4.3 million members residing in Michigan in addition to members of Michigan-headquartered groups who reside outside the state. The organization is an independent licensee of the Blue Cross and Blue Shield Association.

Challenges

  • Comply with federal requirements for ICD-10 compliance
  • Streamline provider reimbursements
  • Support operational and analytical healthcare decision making
It’s easy to sell the concept [of MDM] because I have a ton of businesspeople all talking about the value associated with being able to get to this data. Using Informatica MDM, BCBSM’s return on data is exceptional and the business users know it.
— Dennis Winkler
IT Director
Blue Cross Blue Shield of Michigan
Read Success Story PDF

Results

  • Increased value of data by introducing a single source of authoritative, trusted diagnosis and inpatient procedure ICD-10 master data
  • Reduced cost of data by streamlining provider reimbursements and lowering labor costs
  • Enhanced patient safety and care delivery
  • Led to greater specificity of diagnosis and procedures
  • Enabled more accurate public health tracking and reporting

Technologies Used

  • Provides flexible multidomain MDM technology to enable rapid deployments and extensibility across the enterprise.

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