Case Study:  Reference Data Management Delivers Data Governance Goals at Health Plan 

Case Study:  Reference Data Management Delivers Data Governance Goals at a 2M+ Member Health Plan

End-to-end content strategy streamlines data governance

A 2M+ member health plan is paving the way in the industry by deploying the Health Language Reference Data Management (RDM) solution.  As part of a data governance initiative (focused on managing enterprise code sets) the health plan was able to automate tasks previously managed in spreadsheets. 

The health plans' objective was to design and implement a process for improving the turnaround time of code group updates to minimize financial exposure, improve accuracy, and ensure compliance with service level agreements.  

Initial outcomes post implementation included: 

• Over 90% reduction in time to process updates.  
• 75% efficiency improvement, by simplifying the number of ways business teams were updating code sets.  
• Improved collaboration, clarified ownership, and established accountability to ensure claims were processed in a timely manner.  

Read the case study to understand how they assessed people, systems, and processes to design a program using reference data management that simplified data governance and improved results.  

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