Pyramid helps health plan provider put people first
公司规模
Large Corporate
地区
- America
国家
- United States
产品
- Pyramid Analytics
- SAP Crystal Reports
- Tableau
技术栈
- OLAP Cube
- Clarity Databases
实施规模
- Enterprise-wide Deployment
影响指标
- Productivity Improvements
- Customer Satisfaction
- Digital Expertise
技术
- 分析与建模 - 预测分析
- 应用基础设施与中间件 - 数据可视化
适用行业
- 医疗保健和医院
适用功能
- 商业运营
- 质量保证
用例
- 监管合规监控
服务
- 系统集成
- 培训
关于客户
Community Care Plan (CCP) is a healthcare provider established in 2000 to offer affordable healthcare services across eight South Florida counties. CCP provides a wide range of health plans and local medical services to individuals and families, aiming to promote healthier communities. The organization is committed to maintaining high-quality standards and meeting regulatory requirements through the use of analytics and metrics. CCP's mission is to deliver proactive and personalized health plans that cater to individual needs, ensuring a sense of community and care. The organization has been facing challenges in providing the necessary business insights due to data being trapped in silos, making it difficult to cross-correlate a member’s varying healthcare needs. Accessing claims details was time-consuming, and data sources were disconnected, requiring manual entry into Excel spreadsheets or SAP Crystal Reports. The IT department had to manually compile the information needed by various departments, making it challenging to see the full picture of individual members.
挑战
Established in 2000 to provide affordable healthcare across eight South Florida counties, Community Care Plan (CCP) offers a wide range of health plans and local medical services to individuals and families. CCP is on a mission to promote healthier communities. To maintain the highest possible quality standards and regulatory requirements, CCP has relied on analytics and metrics to stay compliant and continually improve its services. Whether it’s more timely claim authorizations or matching services to individual needs, the aim is to deliver proactive and personalized health plans with a heart and a sense of community. Providing the business with the insights it needs to achieve its mission was proving difficult. Data was trapped in silos that made it hard to cross-correlate a member’s varying healthcare needs. Accessing claims details was taking too long because data sources were disconnected. Documents were manually entered into Excel spreadsheets or SAP Crystal Reports, and it was up to the IT department to manually compile the information that the various departments need. The goal for CCP was to see the full picture of individual members, as opposed to one metric in one silo. Implementing a more powerful BI and analytics platform became a priority.
解决方案
In the early stages of Business Intelligence development, Leon Mink, Senior VP and CIO, and Alvaro Reis, VP of IT, evaluated several tools, including Tableau, before choosing the Pyramid Analytics platform. Although CCP is a Microsoft house, IT Director Terry Garzon found the drill-down capability of Pyramid superior to the Microsoft product. Having used Pyramid Analytics in a previous role, she was confident that it would be a good fit for the healthcare plan. She knew that Pyramid would make light work of consuming data from the Clarity databases that integrated with its health information system; that it could do the transformation that would enable data to be surfaced in reports for insights. An OLAP cube was created within an architecture primed for Pyramid functionality and the rapid analysis of data; 15 licenses were bought for users across the finance, claims, and pharmacy divisions. At the time, Pyramid was just launching the latest version of its product and spent two weeks with CCP, fine-tuning the platform’s functionality, aligning it to the health plan’s unique needs. Data was presented to stakeholders at the outset to make the business case clear. “The Pyramid team was excellent throughout,” said Terry Garzon, “and always willing to go the extra mile.”
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