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Enriching Provider Records for a Better Member Experience

Illustration showing provider directory data being cleansed resulting in 95%+ accuracy

Industry

Healthcare

Challenge

A large national health plan faced a corrective action plan due to poor quality data, which impacted their compliance and member satisfaction. The existing data management processes were inadequate, leading to inaccurate provider information and price transparency issues.

Results

Perspecta implemented a comprehensive data quality improvement solution that enhanced the accuracy of provider information, integrated seamlessly with the health plan's existing systems, and ensured compliance with regulatory standards. Member satisfaction increased due to reliable and transparent data.

Key Product

Provider Data Cleansing, ProviderDirectoryAI (PDAI), Price Transparency

Perspecta's solution significantly improved our data accuracy and compliance. Our members now have reliable access to provider information and cost estimates.

Chief Data Officer

National Health Plan

The Challenge

A large national health plan was confronted with a corrective action plan due to poor quality data. This data inaccuracy impacted compliance and significantly reduced member satisfaction. The existing data management processes were inadequate, resulting in erroneous provider information and substantial issues with price transparency. The health plan needed a robust solution to address these critical challenges and improve overall data quality.

The Solution

In search of a solution, the health plan evaluated multiple options and ultimately selected Perspecta for its proven expertise in data management and transparency tools. Perspecta's comprehensive suite was chosen for its ability to seamlessly integrate with existing systems while addressing the core issues of data accuracy and compliance. 

The Results

Following the implementation of Perspecta's solution, the health plan observed a number of remarkable improvements:

  • Data accuracy soared to 95%, ensuring that provider information was reliable and up-to-date.
  • Compliance rates reached 100%, meeting all regulatory standards and avoiding further corrective actions.
  • Member satisfaction saw a significant increase of 25%, driven by the newfound reliability and transparency of data. 
These results underscore Perspecta's capability to deliver tailored data quality solutions that meet the critical needs of health plans.

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