Elevating care management for a health plan covering 4.7 million members
The regional nonprofit health plan faced challenges in incentivizing health outcomes due to inefficient systems. The goal was to integrate member health records into the cloud, but the vast volume of data, nearly 30 million member history records and 40 million clinical history records across systems, posed a significant obstacle. To address these challenges, Infosys facilitated the client's transition to the cloud by designing and implementing a vault-based Cloud Data Platform program. This program established a foundational data model with clinical data sources and core business domains, resulting in improved operations and enhanced member and provider experiences. The solution included implementing a tiered data architecture for high processing power, creating a data cloud through automation, and enabling quick access to information by integrating a cloud-based clinical information platform with SalesForce using APIs.
