Healthcare Data Transformation Platform: Cut Costs & Maximize Efficiency

Digital transformation is a big deal in healthcare right now. 

Sixty percent of healthcare leaders say it’s their top focus for growth. 

They’re investing heavily in new technologies like cloud services, remote monitoring, and home health.

Meanwhile, the amount of healthcare data is growing fast. 

Spending on data storage jumped from $4.88 billion in 2022 to $5.7 billion in 2023. It’s expected to exceed $10 billion by 2027.

With so much data, managing it can be tough. 

Many healthcare providers struggle with scattered data systems, which can slow down care and make it harder to see important details.

At SyS Creations, we recently worked with a large healthcare organization facing these issues. 

Their data was all over the place, making it hard to use effectively. We stepped in to create a solution that brought their data together and made it easier to use.

In this blog, we’ll show you how our approach helped solve these problems and improved both patient care and operational efficiency.

Objective: Rethinking Data Management for Better Care

Our client, a leading healthcare organization serving millions across multiple regions, aimed to significantly enhance member health and well-being by revamping their data management systems. 

They wanted to make their data more accessible and useful throughout their healthcare network, for both members and providers.

The organization understood that to deliver personalized and effective care, their data needed to be actionable. 

This means the data must be clear, usable, timely, and clinically relevant. This realization became a driving force for them to rethink their entire data strategy.

However, the technology needed to build a scalable and adaptable data platform was not available off-the-shelf. 

It was clear that they would need a custom solution to meet their goals. 

This posed a significant challenge, but also an opportunity to transform their data environment into a powerful tool for improving patient care and operational efficiency.

Enterprise Data Strategy: Key Components

To tackle their data challenges, our client developed a bold enterprise data strategy focusing on several key areas:

• Data Foundation: They aimed to consolidate data into a single, unified source. This approach simplifies data management and scales efficiently.

• Data/Data Products: Their strategy involved connecting and structuring data to address specific business questions, ensuring that information was relevant and actionable.

• Access and Tools: The organization focused on making data available in a timely manner and easy to use for various stakeholders, enhancing overall usability.

• Governed: They prioritized creating a standardized, consistent, and reliable data environment to ensure quality and compliance.

This comprehensive approach was designed to transform their data environment, making it a powerful tool for improving patient care and operational efficiency.

Teaming with SyS Creations: Strategic Buy & Build Approach

After initially pursuing a complete internal build, our client realized that a buy + build strategy would enable them to reach their data goals much faster and more cost-efficiently. 

This approach also accelerated their time to business value at scale.

To achieve these objectives, they partnered with us, SyS Creations. 

We brought unique expertise in healthcare data management, focusing on creating a scalable and effective data environment. 

We developed a new standard in payer data with digitally interoperable, usable data, ensuring it met six key requirements: accurate, complete, timely, relevant, versatile, and use case and application agnostic.

The benefits of this buy-and-build strategy included:

• Lower Total Cost of Ownership (TCO): The approach proved more cost-efficient than traditional methods.

• Scalability: The solution was designed to grow alongside the organization’s needs.

• Modular Implementation: It featured a configurable, managed service that integrated smoothly with their existing systems.

• Tech Currency: The latest advancements in technology ensured they stayed ahead in the industry.

This strategic combination allowed us to deliver significant business value quickly, overcoming data challenges and setting a new standard for data usability and integration in healthcare.

How Our Partnership Accelerates Results: The Solution

As trailblazers in building a unified data model for the health insurance industry, we, SyS Creations, worked closely with our client on everything from joint and separate technology roadmaps to developing the digital connectors needed to integrate data from various external systems and sources.

Once we began integrating our data transformation platform, the initial data sources went live within just six months. 

This rapid deployment underscored the efficiency and effectiveness of our collaboration, bringing significant value to our client’s operations.

Path to Usable Data: Our Data Transformation Platform

We consolidate structured, semi-structured, and unstructured data from both internal and external sources. 

Our robust data transformation platform standardizes and validates this data through a meticulous four-stage process to ensure it meets six key usability requirements.

We leverage the Snowflake cloud ecosystem to make this interoperable, usable data accessible on demand. 

Whether it's for IT professionals, business users, members, providers, or vendors, our platform delivers data in any required format, tool, or app, making it versatile and user-friendly for all stakeholders.

Powering Important Use Cases

Our data transformation platform supports a wide range of core analytics and operations. 

We handle more than 30 million transactions daily, with a significant portion related to claims data alone. 

Our unified data model provides actionable insights that enhance business operations and drive better member experiences, care quality, and overall affordability.

Here’s how we leverage transformed data for key use cases:

1. CMS Interoperability

We enable accurate and timely access to digital records for patients. 

Our data is accessible for import into third-party applications, empowering patients with control over their health information.

2. Analytics Enablement

Our platform provides essential data for all analytical and value-based contracting needs. 

We’re advancing usability by adding automated metrics, such as per member per month, available on demand for business users and data analysts.

3. Personalization and Engagement

We offer a comprehensive 360-degree view of members, which helps us segment, identify cohorts, and stratify members. 

This capability allows us to personalize member experiences and equip individuals with the data needed for informed healthcare decisions.

4. Consolidated Claims

We centralize and standardize medical, pharmacy, dental, vision, and other claims data from various sources. 

This integration reduces latency significantly, moving from monthly updates to daily and even intraday processing, delivering substantial value to our clients.

Building Momentum with Usable Data

With demonstrated success, SyS Creations is expanding its data capabilities to support a broader range of use cases. 

Here’s how we’re advancing the utilization of usable data:

1. Care Delivery

By integrating data from various sources, we’re constructing comprehensive longitudinal patient records. 

Our platform helps identify high-value care opportunities, improving member access to superior care settings and enhancing overall care delivery.

2. Provider Relations

We focus on delivering actionable data to providers at the point of need, supporting shared goals in value-based care. 

This approach strengthens our relationships with providers and helps achieve mutual care objectives.

3. Alternative Payment Model (APM) Analytics

Our analytics capabilities assist providers in optimizing healthcare outcomes. 

We monitor member risk and care interactions both at the individual and population levels, providing insights that drive improved care strategies.

4. Artificial Intelligence/Machine Learning

Our unified data model supports the application of AI and machine learning, starting with claims adjudication processes. 

This enables us to optimize resources, enhance operational efficiency, and scale our technology effectively.

By continually expanding our data use cases, we’re committed to driving innovation and delivering valuable solutions in the healthcare landscape.

Accelerating Strategic Achievements

With our new data environment now fully up and running, SyS Creations is driving major improvements for our partner. 

We're eliminating outdated data systems and warehouses, which will help reduce both operating and capital costs. 

Our partner’s confidence in our data and unified data model is growing stronger every day.

We’re continuously finding new ways to use this data for various business needs. For example, moving to intra-day claims will provide real-time insights for care managers and enhance services for members.

Our commitment to delivering effective healthcare payer solutions and ensuring our data is interoperable and usable is transforming care. 

This partnership is a key driver of our strategic goals, including improving experiences for both members and providers, advancing the quality of care, and promoting equity and affordability. 

With this solid foundation, we’re set to achieve our strategic objectives and make a significant impact.