Mastering Data Management

Humana now links records across a variety of systems for a multitude of initiatives.

Background
As one of the nation’s largest publicly traded health and supplemental benefits companies, Humana has 11.4 million medical members across a network of more than 550,000 physicians, hospitals, pharmacies and ancillary care providers in nearly every state.

Challenge
After years of rapid growth, Humana’s provider data was housed across multiple systems and locations, posing challenges to data analytics and effective resource management.

Solution
Initiate software is enabling Humana to link records across a variety of systems for a multitude of initiatives, including provider data maintenance, provider customer service and provider analytics.

As a result of rapid organic growth and some acquisitions, Humana housed provider data across multiple systems and locations, with different systems handling claims, contract information, credentialing and provider directory data.

Looking ahead, Humana realized that a new approach toward provider information management would enable operational and customer service enhancements while creating the capability for revolutionary improvements in the future – all at an affordable cost.

Initiate’s software solution has enabled Humana to meet key operational and strategic objectives in three key areas:

• Provider Data Maintenance: A custom workflow system uses Initiate’s solution to enable simultaneous updates of multiple provider data systems, resulting in productivity, accuracy, and speed improvements.
• Provider Customer Service: Customer Service can access a virtual, complete view of provider data from multiple systems in one, coherent provider data console. This enables better customer service because of the complete and accurate view of provider data that can be quickly retrieved.
• Provider Analytics: With a vast range of provider data available through Initiate’s solution, Humana can more speedily answer critical business questions and adapt to changing marketplace needs.

Learn more by reading the Humana Success Story.