Multi-state managed care organization expands strategically with playbook-driven growth approach
The managed care organization faced challenges in complex expansions, with lengthy and intricate implementation processes for entering new territories, bidding for Medicaid states, and acquiring memberships. The absence of thorough impact analysis led to significant delays, taking 12 to 15 months per expansion and involving coordination with multiple stakeholders. Partnering with Infosys, the organization implemented a tailored analysis approach using the Medicare and Medicaid Compass. This proprietary expansion playbook streamlined operations, handled 24 essential application and business processes, simplified infrastructure integration, and resulted in significant benefits, including faster state expansion (from 12 to 8 months), a 90% reduction in pre-implementation timelines, 100% repeatable processes, and a 30% reduction in implementation costs. The strategic partnership successfully overcame growth challenges, improving efficiency, reducing costs, and accelerating time-to-market.