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Case Studies
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Automation
Payer
Quality Assurance
Accelerating Quality and Efficiency: A QA Transformation Journey for a Leading Health Plan
Challenge A prominent health plan serving millions of members faced multiple, interrelated challenges that were impacting its efficiency and profitability. Key among these was a lengthy end-to-end (E2E) and user acceptance testing (UAT) cycle that extended up to eight weeks per release. This drawn-out testing period meant the health plan could only manage three production […]
Case Studies
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Automation
Transforming Operations with Intelligent Automation for a Leading Health Plan
Challenge A leading health plan with millions of members faced significant operational inefficiencies due to manual processes across multiple departments. These inefficiencies were time-consuming, hindered service quality, and negatively impacted the organization’s bottom line. Key areas such as Claims, Care Management, Enrollment & Billing, and Pharmacy Benefit Management were experiencing bottlenecks, leading to delays, higher […]
Case Studies
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Cloud
From On-Prem to Google Cloud for a leading US Healthcare Player
Challenge A prominent healthcare organization in the USA, managing diverse business lines including retail, pharmacy, health insurance, managed healthcare, and population health management, sought to modernize its data ecosystem. The goal was to transition from on-prem systems to the Google Cloud Platform (GCP) to leverage the full potential of their data, enhance scalability, and streamline […]
Case Studies
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Cloud
Cloud Migration and CMS Interoperability for a Leading HMO
Challenge A non-profit Health Maintenance Organization (HMO), wanted to modernize its IT ecosystem. This included a crucial migration to the cloud, constructing next-generation data platforms, and upskilling their workforce to support their growth trajectory. They were also driven by the need to comply with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient […]
Case Studies
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Digital Transformation
Digital Fitness Assessment and Patient Journey Mapping to improve patient outcomes for a US-based Medical Group
Challenge Our client, a distinguished national medical group, delivers personalized primary care at home to those confronting various health challenges. Operating under a value-based model, their services are rendered in unconventional care settings, focusing on client engagement, integrated systems and care documentation to realize revenue. The client wanted to implement an enterprise operating clinical technology […]
Case Studies
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Digital Transformation
Transforming Patient Record Access Management for a leading Tennessee-based Medical Center
Challenge Our client, one of the leading Medical Centers in Tennessee, has a wide network of hospitals as well as clinics and facilities throughout the state. During and after the pandemic there was a significant turnover of their front-office staff, and the Medical Center was dealing with a staggering backlog of thousands of documents inaccurately […]
Case Studies
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Digital Transformation
Cloud-Based Web Application for Clinical Trial Design and Optimization
Challenge Our client, a multinational statistical software development and contract research organization, is one of the largest providers of statistical software and advanced analytics for clinical trial design and execution. They sought to develop a cloud-based web application to optimize clinical trial design and management, aiming to reduce risks, improve operational efficiency, protect patient safety, […]
Case Studies
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Design-Led Engineering
MYO-SHARE: Advancing Rare Disease Diagnosis Through Global Collaboration
Challenge Diagnosing and treating rare diseases is a complex task that often presents barriers. The MYO-MRI consortium, a dedicated group of healthcare professionals focused on rare conditions, was limited by an outdated method of sharing crucial patient images and data. In 2019, vital images were still being transported physically on CDs, causing substantial delays and […]
Case Studies
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Data
Design-Led Engineering
Unifying Data and Streamlining Service Delivery for a Health Benefits Administrator
Challenge Our client, a full-service Third-Party Administrator (TPA), serving a significant number of lives across multiple employer groups, faced a series of operational and technological challenges. Their growth strategy, involving the acquisition of multiple TPAs, led to a decentralized and siloed IT landscape, resulting in increased operational costs and complex data management. Their outdated legacy […]
Case Studies
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Artificial Intelligence
Streamlining X-ray Processing with AI
Challenge Over the past two decades, the number of data points per patient has increased exponentially, with a thousand more images per patient being produced today compared to the turn of the millennium. This surge in data has created a significant challenge for radiologists who are struggling to keep up with the volume of examinations. […]
Case Studies
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Data Engineering
Featured
Transforming IT Infrastructure for a Top-Tier Healthcare Company
One of the largest healthcare companies in the Fortune 500 approached Emids with a vision for a modern IT ecosystem. They found themselves in a situation where their IT infrastructure and capabilities were not scalable to support their rapid growth. These infrastructural shortcomings were not merely internal roadblocks. They directly impacted the customer experience and […]
Case Studies
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Data Engineering
Enterprise Data Platform Implementation for Leading Payer
The Emids customer is a leading payer—with nearly 47 million members operating across the commercial, Medicare, and Medicaid markets—focusing on whole-person health for improving outcomes. The customer had developed and acquired applications across their business, primarily leveraged for internal use with a few external clients. They saw a market opportunity to commercialize these apps for […]