Case Study

State-based health plan: Improving membership visibility, insights, and data quality

State-based health plan: Improving membership visibility, insights, and data quality

Pages 2 Pages

A state-based health plan serving approximately 100,000 members across commercial, ACA Exchange, and Medicaid lines faced data management challenges due to fragmented membership processes and multiple systems. This disjointed approach limited visibility and hindered accurate membership analytics, increasing financial risk and affecting care quality reporting. By implementing Precisely’s data management solutions, the health plan gained comprehensive, accurate membership insights, improved data quality, reduced risks, and enhanced reporting accuracy, ultimately supporting better decision-making and optimizing operational efficiency across the organization.

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