Category: Optimized Operations

Building an IT Operating a Model for a Large Health Insurer

Case Study • 2.16.2016

Building an IT Operating Model for a Large Health Insurer

Our Client, one of the largest customer-owned health insurance companies in the country, needed to improve the efficiency and the quality of output generated by their IT organization. Their lines of business (LOB) are incredibly diverse, including government, group, and retail consumer healthcare plans. These LOBs exist at different<span. . .

Tagged in: Healthcare & Life Sciences, Optimized Operations, Program Execution, Strategy & Innovation

Case Study • 1.13.2016

Developing Business Solutions With Free and Open Software

Our Client, the Chief Actuarial Officer of a large healthcare Payer, had an urgent need to improve reporting insights into their predicted and actual membership. Challenging Trexin to help him develop an interim solution in less than 90 days, our Client asked us to create reporting tools based on currently<span. . .

Tagged in: Analytics, Healthcare & Life Sciences, Optimized Operations, Technology

Improving Data Quality to Elimate $4M in Discrepancies

Case Study • 12.2.2015

Improving Data Quality to Eliminate $4M in Discrepancies

Business Driver Our Client, one of the nation’s top 5 healthcare Payers, was experiencing a large number of data quality and reconciliation issues around Retail Membership, Claims, and Member Eligibility. These issues were cropping up as a result of the implementation of a new software package that had required extensive<span. . .

Tagged in: Analytics, Healthcare & Life Sciences, Optimized Operations

Maximizing ACA Payments For Healthcare Startup

Case Study • 11.9.2015

Maximizing ACA 3R Payments for a Healthcare Startup

Business Driver An innovative Healthcare Consumer-Oriented and Operated Plan (CO-OP) established under the authority of the Affordable Care Act (ACA) was weeks away from the deadline to submit their data to the Centers for Medicare and Medicaid Services (CMS), yet they did not yet have a program in place to<span. . .

Tagged in: Healthcare & Life Sciences, Life Sciences, Optimized Operations, Program Execution

Case Study • 10.30.2014

Estimating Cost with Advanced Analytics

A large global company needed to plan the rollout of a new ERP system to hundreds of manufacturing sites throughout the world. It was faced with many unknowns and risks, based on the large variations of size, product lines, systems, and staff across all the sites. This made it difficult<span. . .

Tagged in: Analytics, Optimized Operations, Products & Distribution, Program Execution

Case Study • 7.2.2014

Data Science for a Safety Net Hospital

Community acquired infections (CAI) are among the most common reasons for admission at regional safety net hospitals. CAI is emblematic of the types of choices that hospitals must make every day, there is variation in: patient risk factors; severity of symptoms on presentation; and the ultimate

Tagged in: Analytics, Healthcare & Life Sciences, Optimized Operations

Case Study • 3.3.2014

Social Media Enables Outlook Migration

A major global financial service firm was migrating 19,000 users from Lotus Notes to Microsoft Outlook. The goal was to minimize calls to the helpdesk from the migration and create a cultural shift toward a self-empowered, community focused workforce.

Tagged in: Financial Services, Optimized Operations, Technology

Driving A Mission Critical Deployment For Store Retailer

Case Study • 10.10.2013

Driving a Mission-Critical Deployment for a 7,500-Store Retailer

A prolonged decline in sales at a $2B international retailer that led to the replacement of its CEO focused the executive team’s attention on the root causes of deteriorating performance and financial results. Two leading indicators (employee retention and customer satisfaction) were significantly

Tagged in: Optimized Operations, Other Industries, Program Execution, Retail

Case Study • 10.3.2013

Designing a Financial Information Hub

The US healthcare system is undergoing significant change in both the regulatory framework under which it operates as well as the marketplace in which its participants must compete. To address both the threats and opportunities associated with this type of disruptive industry change, a large

Tagged in: Analytics, Healthcare & Life Sciences, Optimized Operations, Technology

Case Study • 8.2.2013

Ensuring 3R Compliance with the ACA

In March 2010, the federal government regulated comprehensive healthcare reform through passage of the Patient Protection and Affordable Care Act (ACA). While some provisions of the law have already taken effect, many more will be implemented in the coming months as the law significantly changes

Tagged in: Analytics, Healthcare & Life Sciences, Optimized Operations

Stories & Insights

Category: Optimized Operations

Building an IT Operating Model for a Large Health Insurer

Developing Business Solutions With Free and Open Software

Improving Data Quality to Eliminate $4M in Discrepancies

Maximizing ACA 3R Payments for a Healthcare Startup

Estimating Cost with Advanced Analytics

Data Science for a Safety Net Hospital

Social Media Enables Outlook Migration

Driving a Mission-Critical Deployment for a 7,500-Store Retailer

Designing a Financial Information Hub

Ensuring 3R Compliance with the ACA

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