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Incident reporting for a new Medicaid contract, delivered on time and under budget

After a Medicaid health plan won a major contract, it had to investigate and self-report specific types of incidents, using data from nearly every internal database. Smart Data built the system that does it, on time and under budget.

Industry
Healthcare
Engagement
Custom Development
Two clinicians reviewing records on a tablet and clipboard

A Medicaid health plan was growing fast. After it landed a major new contract, it had to investigate and self-report specific types of incidents to third-party oversight groups, and a software problem stood in the way.

The members behind those reports include some of the most vulnerable people the plan serves, so the reporting had to be complete, accurate and on time from the first day of the contract.

The challenge

  • The reports needed data from nearly every internal database the plan ran
  • Oversight groups outside the plan had to receive the information, in the form they required
  • The plan had to stay compliant while it launched a new program and grew
A doctor and a patient talking across a desk

The solution

  • Built a fast, reliable system that pulls the required data from every source
  • Delivered the information to the third-party oversight groups
  • Worked to the contract’s launch, so reporting was ready when the program went live

The results

  • Delivered on time and under budget

  • The plan stayed compliant and met its expansion goals through the launch

  • Its incident reporting surpassed industry peers, in the incidents reported and in the quantity and quality of the data provided

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