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Hyatt Regency

5 Embarcadero Center,
San Francisco, California, USA 94111

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Wednesday, June 20, 2012

2:00 p.m. - 2:30 p.m.
Track: Master Data Management (CDI/PIM/RDM) View Track


Rajan Chandras, Delivery Lead, Data Strategy and Management, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

The healthcare industry is in the throes of a transformation that some consider the most momentous since the introduction of Medicare and Medicaid in the 1960s and HMO’s in the 1970. The inexorable move towards consumer-driven healthcare (CDH), driven by the ever-escalating cost of care combined with increased utilization, is forcing health plans to rethink survival and growth strategies. A growing trend towards the consumerization of health care is ushering in a new era of agility and competitiveness that requires health plans to rapidly evolve and innovate in provider management and member outreach – both of which begin with a “mastery” over provider and member data.

At a leading healthcare company, an upfront partnership with business and unwavering focus on the business value of MDM has led to an innovative yet challenging single-instance, multi-domain MDM implementation – multiple but closely related entities mastered together in a single hub – that provided measurable business benefits even before going live. This case study describes the critical success factors behind the eventful journey of the MDM implementation from concept to reality, including:

  • Creating an innovative data/solution architecture that embeds Data Governance principles 
  • Optimizing the partnering relationship with Systems Integrators and MDM solution vendors 
  • Reducing project risk and demonstrating business value through proof-of-concept

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