Leading Regional Health Maintenance Organization

Overview

This US-based healthcare company offers health plans for people enrolled in Medicaid and/or Medicare programs. The company offers a variety of health plans, including Medicaid, Medicare Advantage, and Special Needs Plans. It is committed to providing quality, affordable health care to its members. The company has a strong track record of providing high-quality care to its members. It has been recognized by several organizations for its quality, including the National Committee for Quality Assurance (NCQA) and the Joint Commission. 

The company decided to partner with deFacto Global to help address issues with their consolidation and financial reporting processes. 

Challenges

The healthcare company was facing a number of roadblocks with its consolidation and reporting systems. These issues made it difficult to control access to budget workbooks, maintain historical data, track trends over time, make timely decisions about the company’s finances, and consolidate multiple worksheets from different departments and locations.

dF Solution Statement/Results

deFacto Global was able to create two models that included proper automation, tiered data security, and custom business rules & calculations. This allowed the healthcare company to streamline their consolidation and financial reporting processes in several ways, including reduced manual intervention, improved data consolidation & input processes, and a reduction in the number of Excel workbooks needed. 

Overall, the company reported an increase in efficiency and ease of use, which led to more accurate and timelier reporting.