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Replacing a costly third-party tool with a custom Medicaid platform

Smart Data helped Ohio’s largest healthcare plan provider replace a costly third-party system with a custom Medicaid waiver platform.

Built on.NET Core

Industry
Healthcare
Engagement
Custom Development
A doctor taking a patient's blood pressure across his desk

Ohio’s Largest Healthcare Plan Provider is responsible for coordinating Medicaid services across the state. One key program is the Ohio Home Care Waiver, which helps match eligible Medicaid members with qualified home care providers. The organization had been relying on an expensive third-party tool to manage service requests, provider bids and case tracking. When the system proved misaligned with internal processes and member experience goals, they turned to Smart Data to build a custom solution from the ground up.

The challenge

This project came with several significant constraints:

  • No work had started, and no contract was in place
  • Only four months remained before the state-mandated go-live
  • The existing tool was inflexible, costly and poorly matched to operational workflows
  • Compliance with strict Medicaid and internal IT standards was required
  • The project had to launch with no delays permitted

Time was the most critical factor. There was zero margin for delay, and missing the deadline was not an option.

A nurse in a mask and scrubs checking a patient's arm

The solution

Smart Data assembled a dedicated onshore team including developers, quality assurance professionals and a Scrum Master. Working side by side with the client’s product owner, internal developer and subject matter experts, the team focused on:

  • Rapid requirement gathering with domain experts
  • Iterative development using Agile methodologies
  • Clear alignment with internal development and compliance standards
  • Frequent check-ins, sprint planning and risk tracking to stay ahead of the deadline

The collaborative approach and proximity of the team enabled fast decisions, quick pivots and accelerated progress.

The results

  • Application launched on schedule and within budget

  • Replaced the expensive third-party system

  • Increased alignment with internal workflows

  • Reduced long-term licensing costs

  • Strong collaboration between client and Smart Data teams

The custom homecare facilitation tool was deployed successfully, providing better flexibility, lower cost and improved support for Medicaid members and providers.

Client

Industry

HealthcareInsurance

Platform and technology

  • .NET Core

Related services

Application development and modernizationHealthcareInsurance

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