Case StudiesHealth Insurance
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Case Study : Payer data warehouse

problem

This large health-insurance company had developed the largest payer data warehouse in the U.S. to analyze claim data on over 70MM members. The solution was not designed for the robust scalability needed for such a large scale system. System processing was taking significantly longer than the business schedule would allow.

Process

Meridian was engaged to analyze the architecture and make recommendations to improve performance and scalability.

Results

We implemented a parallel processing framework that reduced processing by 90%.

Case Study : Managed Episodes of Care

Summary

Meridian implemented a data-driven solution to manage episodes of care for this large health-insurance company. This was a complex platform that enabled this company to establish its medical cost-management program, which achieved $1.2 billion in savings over a three-year period. This project positively affected every aspect of our client’s business, from actuarial analysis to the management of its care programs.

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