Dean Health Plan is one of the largest and most diversified health maintenance organizations (HMOs) in the Midwest. The firm maintains a position of leadership in insurance services in south central Wisconsin through a physician-led, integrated health system that supports the health status of its members.
“The payback we’ve received from the Informatica platform has been immense, particularly in terms of enhanced practitioner efficiency.”
Business Need
- Deliver more effective services while holding the line on costs.
- Meet Medicare and Medicaid payment system requirements.
- Provide utilization data confidentially and securely to both the federal and state governments for regulatory compliance purposes.
- Adhere to as many common data standards as possible, including ICD-10.
Challenges
- Migrate health care data safely from legacy systems to a new infrastructure.
- Analyze all available data on patients, treatments, outcomes, and research.
- Synchronize the data moving between systems, streamline the information-access process to enhance physician effectiveness.
Solutions & Results
- Reduced risk and errors associated with data migration.
- Improved provider access to patient eligibility and claim information.
- Accelerated and streamlined medical claims administration.
- Ensured prompt compliance with regulatory changes.
Products & Services
Informatica PowerCenter
Accesses, integrates, and delivers any and all data quickly and cost-effectively, without hand coding.
