A US-based healthcare company gets ahead of a growing claims volume
Customer Company Size
Large Corporate
Region
- America
Country
- United States
Product
- IBM® CICS® Configuration Manager for z/OS®
- IBM CICS Interdependency Analyzer for z/OS
- IBM CICS Performance Analyzer for z/OS
- IBM CICS Transaction Server for z/OS
- IBM CICSPlex® System Manager
- IBM Enterprise COBOL for z/OS
- IBM Operational Decision Manager
Tech Stack
- IBM System z® servers
- IBM zEnterprise® EC12
Implementation Scale
- Enterprise-wide Deployment
Impact Metrics
- Cost Savings
- Productivity Improvements
Technology Category
- Application Infrastructure & Middleware - API Integration & Management
- Application Infrastructure & Middleware - Data Exchange & Integration
- Application Infrastructure & Middleware - Middleware, SDKs & Libraries
Applicable Industries
- Healthcare & Hospitals
Applicable Functions
- Business Operation
Use Cases
- Process Control & Optimization
- Root Cause Analysis & Diagnosis
Services
- Software Design & Engineering Services
- System Integration
About The Customer
The customer is a US-based company that provides a diverse portfolio of health and well-being services. It relies heavily on a claims processing application to support its operations. The company was facing a challenge of accommodating a growing volume of healthcare claims due to changes within the healthcare marketplace, particularly around government healthcare initiatives. The company's existing claims processing application was handling the current volume, but the company needed to optimize and modernize its application workloads on its IBM System z® servers to accommodate the expected increase in claims volume.
The Challenge
The US-based healthcare company was facing a challenge of accommodating a growing volume of healthcare claims. The company's existing claims processing application was handling the current volume, but changes within the healthcare marketplace, particularly around government healthcare initiatives, were expected to drive up that volume. The technology manager within the organization anticipated the growing demands on the company’s claims processing systems and took action. He created a modernization strategy for the organization’s two IBM zEnterprise® EC12 servers running IBM CICS-based application workloads to improve application performance and help accommodate the growing claims volume.
The Solution
The company worked with IBM to analyze its systems and create a roadmap of incremental enhancements, starting with simple, low-risk actions and progressing to more complex activities. The team used IBM software, including the IBM CICS Interdependency Analyzer for z/OS® and IBM CICS Performance Analyzer for z/OS applications, to better understand the company’s environment and obtain performance metrics. The roadmap began with low-risk activities, such as recompiling COBOL programs with the latest compiler and implementing CICS Thread Safety methods, and progressed to more complex solutions. These included using IBM CICSPlex® System Manager software for greater resiliency and using the rules decision tool to promote greater flexibility and business logic reuse. The IBM team also deployed IBM Operational Decision Manager software to help automate business rules processes.
Operational Impact
Quantitative Benefit
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