--- title: "Healthcare Software and Data Analytics Consulting | Smart Data" url: https://www.smartdata.net/industries/healthcare description: "Software and data platforms for health plans, Medicaid managed care, pharmacy services and clinical software, held to HIPAA. $16M+ Medicaid revenue recovered." source: "Smart Data (smartdata.net). Markdown copy of the page; the HTML page is canonical." --- Healthcare # Healthcare software and data systems held to HIPAA Member, pharmacy and clinical systems for health plans, pharmacy services providers and clinical software companies, built and supported by Smart Data, some of them for more than a decade. $16M+ in lost Medicaid revenue returned to the health plan Hired to add a state-mandated code to a health plan’s nursing facility file, our team noticed the process was mishandling records. The plan confirmed it, filed corrections and recovered $16M+. - SQL Server [Healthcare $16M+ in lost Medicaid revenue returned to the health plan Hired to add a state-mandated code to a health…](https://www.smartdata.net/case-studies/nfloc-platform-rewrite) ## Who we work with in healthcare Health plans and Medicaid managed care Member apps, care and assessment platforms, claims data and engineering teams for a Medicaid health plan we have supported for more than ten years. Pharmacy services Four migrated programs at a pharmaceutical services provider, held to one data quality standard. Clinical and healthcare software Clinical documentation, transcription and e-signature products for healthcare software companies, several of them in production for over a decade. In-home care Care management platforms that let field teams assess and support people at home, online or offline. Where healthcare work starts ## Where healthcare engagements start Most healthcare engagements begin with one of three problems. Each one is a different first conversation. Data you cannot trust is costing you claims Gaps in eligibility, assessment and claims data often go unnoticed because nothing technically fails. We trace where records break, fix the pipeline and put monitoring on it so the loss does not come back. A vendor tool no longer fits the program When a third-party system costs more every year and still forces workarounds, we build the platform around your workflows, on the deadline the state sets. AI is on the roadmap and PHI is in the data Before an assistant goes near patient or member data, we decide what it may read, who reviews its output and how every answer traces back to a record. What we build ## Healthcare systems we build and support Custom software and data platforms for clinical and administrative work, from first build to long-term support. Care and case management ### Care and case management Platforms for care plans, field assessments and treatment tracking, with offline access for in-home and remote care teams. Typical work - Care plans - Field assessments - Offline access Member and patient apps ### Member and patient apps HIPAA-governed web portals and progressive web apps for members, patients and providers, including single apps that replace separate mobile and portal builds. - Web portals - Progressive web apps - Single app builds Healthcare data and analytics ### Healthcare data and analytics Pipelines, warehousing and reporting that bring claims, eligibility and clinical data into one governed place your teams can query. - Microsoft Fabric - Databricks - Snowflake Data quality and governance ### Data quality and governance Monitored pipelines, onboarding standards and documentation that keep migrated programs reliable long after the migration ends. - Monitored pipelines - Onboarding standards - Documentation Integration and modernization ### Integration and modernization Older clinical and administrative systems moved onto current platforms and connected through HL7 and APIs, without disrupting the people who use them. - HL7 - APIs - Legacy modernization AI and automation ### AI and automation AI on governed patient and member data: answers that trace back to the record they came from, document search with sources cited and workflow automation, with a person in the loop wherever a decision touches care. - Governed data - Human review - Workflow automation Governance first ## Patient data is governed before anything is built on it Every system we build for healthcare is held to HIPAA from the first design decision. When a program adds analytics or AI, the same data handling rules apply, and they are agreed in writing before the work starts. [Data governance](https://www.smartdata.net/services/data-governance) [AI Enablement Guide](https://www.smartdata.net/ai-enablement) ### Access matches the person asking Each user, report or assistant sees only the records that person is allowed to see. ### Answers come from approved sources Anything a system generates cites the record it came from. ### Every request is logged Who asked, what was read and what was returned. How we deliver ## Pick the model that fits the program ### Support for the systems your business runs on Monitoring, fixes, updates and enhancements on a monthly plan, with response times set by priority from P1 to P4. - Applications, data pipelines and backend processes, legacy systems included - Structured monthly support with clear deliverables - Includes monitoring, bug fixes and performance updates ### We own the project from discovery to launch We lead discovery, design, build and launch, with a written scope and milestones you review along the way. - Ideal for full builds, integrations and migrations - Managed by Smart Data from planning through launch - Your team reviews milestones and makes the decisions ### Engineers who join your team and follow your lead You manage the work, and we provide the people. Our engineers work inside your team and your process. - Developers, data engineers, analysts and architects, screened by our technical team - Flexible team size based on your current needs - Available from our onshore, offshore or hybrid teams ### Help hiring permanent technical staff We help you find and hire technical professionals who match your needs. You choose whether to hire directly or start with a contract engagement. - Includes technical screening and cultural alignment - Contract-to-hire lets you see the work before you commit - Options for contract-to-hire or direct placement Step 1 ### Find the right fit A scoped project, engineers added to your team or a direct hire. We help you decide. Step 2 ### Assemble the team Onshore, offshore or a mix, matched to your timeline, stack and budget. Step 3 ### Start inside your systems We work within your environments, your review process and your compliance rules. Step 4 ### Deliver and adjust Regular demos and check-ins, with room to change course when the program changes. Case studies ## More healthcare work Health plans, pharmacy services and clinical software, in production and in use. ### Replacing a legacy mobile app and member portal with a single progressive web application for Medicaid members A 22-month React Remix PWA for one of the largest Medicaid managed care organizations, replacing the separate mobile app and member portal with one app. Smart Data is the engineering partner. - React - TypeScript [Replacing a legacy mobile app and member portal with a single progressive web application for Medicaid members](https://www.smartdata.net/case-studies/medicaid-member-experience-pwa) ### Reducing data quality issues across four migrated programs Turnover had taken the onboarding knowledge with it. Recurring data quality issues across SSIS and MuleSoft feeds were fixed, onboarding was documented and four programs were migrated. - ETL & Data Pipelines - SSIS - MuleSoft [Reducing data quality issues across four migrated programs](https://www.smartdata.net/case-studies/enterprise-grade-data-quality-for-a-pharma-services-provider) 15+ yrs ### of continuous production across multiple clinical sites iDocData, rebuilt as a clinical workflow platform physicians configure themselves, with their own surveys, automated patient outreach and Epic HL7 integration. In production across multiple clinical sites for 15+ years. - Java - AWS [of continuous production across multiple clinical sites](https://www.smartdata.net/case-studies/scalable-emr-transformation-for-idocdata) ### Faster onboarding and field transcription for eDoc eDoc’s Onboard, Scriptus, Mobile and eSign products, modernized on Laravel, AWS and Flutter for compliant remote healthcare work, by the same small team for nearly ten years. - Flutter - MySQL [Faster onboarding and field transcription for eDoc](https://www.smartdata.net/case-studies/modernizing-edocs-remote-solutions) ### Replacing a costly third-party tool with a custom Medicaid platform Ohio’s largest healthcare plan provider retired a costly third-party system for a custom Medicaid waiver platform, built by Smart Data. - .NET Core [Replacing a costly third-party tool with a custom Medicaid platform](https://www.smartdata.net/case-studies/custom-medicaid-homecare-platform-for-ohios-largest-healthcare-provider) From our healthcare clients > “We needed a partner, not a vendor. I wanted to pick up the phone and speak with someone who understood my business and the technologies I worked with.” Health plan executive Medicaid health plan Questions ## What healthcare teams ask us first Health plans and Medicaid managed care organizations, pharmaceutical services providers, clinical documentation and healthcare IT companies, and in-home care providers. Most have systems already in production that the new work has to fit around. Yes. We build on or integrate with care, case and claims management systems, connect clinical systems through HL7 and APIs and modernize older applications without a disruptive go-live. Every healthcare system we build is held to HIPAA from the first design decision. Each person, report or assistant sees only the records it is allowed to see, requests are logged and the data handling rules are agreed in writing before the work starts. After the data is ready. We start with data readiness and governance, then pilot on your own data with defined access and a human review step before anything reaches patients or members. Yes. Through managed services we own monitoring, support and upgrades after launch. When you need more hands, our engineers work inside your team. Industries ## Other industries we work in ### Manufacturing and industrial ERP, shop-floor and supplier data on one platform, so plant reporting and finance reporting reconcile. - SAP and ERP reporting - Shop-floor integration - Supplier portals [Manufacturing and industrial](https://www.smartdata.net/industries/manufacturing) ### Retail and distribution Order, inventory, credit and customer data connected across portals, branches and the platforms behind them. - Vendor and customer portals - Order and credit systems - Data platforms [Retail and distribution](https://www.smartdata.net/industries/retail) ### Financial services Bank data platforms, reporting that holds up to an audit and managed support for the financial systems the business runs on. - Bank data platforms - Managed ERP support - Legacy migration [Financial services](https://www.smartdata.net/industries/banking-financial-services) ### Insurance Claims, member and policy systems for health plans and insurers. - Health plans - Claims data - Member apps [Insurance](https://www.smartdata.net/industries/insurance) Next step ## Bring us the program and the deadline ### A short call about the program What runs today, which rules it answers to and the date the state or the business has set. ### An engineer looks at what’s running Scope comes from your systems as they are, before anything is priced. ### You get a written proposal Covering scope, team, approach and price. [info@smartdata.net](mailto:info@smartdata.net) [(937) 886-9166](tel:+19378869166)