Our Work: Case Studies

>Our Work: Case Studies>

Using Predictive Analytics in Healthcare to Forecast 87% of Sudden Death Events

2020-01-10T17:55:37+00:00

Our health plan client had been outsourcing their Medicaid analytics and risk stratification for a particular state. There were concerns regarding the viability of produced results in facilitating effective care management practices.

Using Predictive Analytics in Healthcare to Forecast 87% of Sudden Death Events 2020-01-10T17:55:37+00:00

Ethnographic Interviewing & Design Thinking Saves Health Plan from Creating Unusable Claims Solution

2020-01-08T18:40:04+00:00

One of the largest health plans in the U.S. needed to address their historic pain points around complex project execution and delivery. One of those projects focused on reducing the number of member claims that are rejected due to a lack of prior authorization.

Ethnographic Interviewing & Design Thinking Saves Health Plan from Creating Unusable Claims Solution 2020-01-08T18:40:04+00:00

Pharmacy Sales Accelerator Disrupts Selling Cycle

2020-01-15T22:11:38+00:00

The Pharmacy sales and strategy group within a national health plan wanted to help their new and existing ASO clients make faster, better decisions when choosing the right pharmacy program for their needs.

Pharmacy Sales Accelerator Disrupts Selling Cycle 2020-01-15T22:11:38+00:00

Benefits of Agile – Scrum Team Closes 100+ Tickets in Client’s Salesforce Backlog

2020-01-08T18:41:11+00:00

This health care organization’s Salesforce enhancements and defects team had 100+ client tickets in its backlog. The tickets were aging and the organization didn’t have the bandwidth to research and solve them in the turnaround time their clients expected. Our SDLC Partners’ scrum team leveraged the benefits of agile to close 99 percent of all tickets in just four months.

Benefits of Agile – Scrum Team Closes 100+ Tickets in Client’s Salesforce Backlog 2020-01-08T18:41:11+00:00

Mobile Care Management Case Study: How health plans are changing the in-home assessment

2020-01-08T18:41:49+00:00

One of the nation’s top 10 largest health insurers needed to arm their care managers with a powerful digital tool to conduct in-home assessments. The tool needed to help the care manager ask all of the right questions and support a trust-building conversation between the care manager and the member.

Mobile Care Management Case Study: How health plans are changing the in-home assessment 2020-01-08T18:41:49+00:00

RPA Claims Processing: Automating 5,000 Claim Audits Per Week

2020-01-08T18:43:30+00:00

A major healthcare product and service organization was hindered by an onerous, manual claims audit process. SDLC Partners was able to streamline and improve the quality of their audit process, using RPA technology to automate the process and significantly cut down the claims audit processing time and free up auditors to work on other, critical business growth priorities.

RPA Claims Processing: Automating 5,000 Claim Audits Per Week 2020-01-08T18:43:30+00:00