A mid-size regional Administrative Services Organization based in Midwest USA. They offer multiple product lines: Health Plan, Network Services, Care Management and Pharmacy. They have a member base of nearly 125,000.
The ASO has invested in building Enterprise Datawarehouse and Dashboards
Business Challenges:
The business is leveraging the Dashboards for
- Reporting ASO performance to their customers
- Identify and track high cost Claimants
- Report on Consumption Metrics
The account management team had to back track reports sent to their customers because of Data integrity issues in Claims. The Business had stopped leveraging the Dashboards and was asking the IT for raw data in Excel sheets for them to manually process information to report to their customer. IT team was struggling to put a Data Governance and Data Quality process to improve Data.