Case Study

Total Health Care

Total Health Care

Total Health Care, a Michigan-based managed care organization, offers a range of health plans for group, ACA exchange and Medicaid to approximately 100,000 members. Each of these lines of business had its own membership process involving a variety of internal systems, external vendors and CMS. This disjointed structure of multiple systems and sources for membership data adversely impacted the company’s data management efforts by offering very limited visibility into the membership process and prevented leadership from seeing a complete and accurate understanding of key membership analytics. It also posed significant risks to the overall data quality of Total Health Care’s digital records. This combined lack of insights and quality control meant increased financial risk, inaccu

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