Keystone Mercy Health Plan Realizes Millions in Savings After
Implementing CoreTech-Designed Network System
Philadelphia, PA, February 1,
1999 A local medical health care plan, which found its own computer
network in desperate need of technology care, has saved more than $25 million after
turning to CoreTech Consulting Group for the cure.
Keystone Mercy Health Plan, which processes claims for
more than 600,000 members in Pennsylvania, as well as New Jersey, Kentucky and Missouri,
found itself with a network that appeared, at times, to be down more often than it was
working. That meant workers could not process the usual workload of more than 25,000
claims a day. A backlog built steadily, and state regulators were beginning to inquire
about delays in getting payments to health care providers.
"We were patching and fixing the system on almost a daily basis," said Keystone
Mercy Health Plan Chief Information Officer Bill Jones. He laughingly referred to the
"technology du jour" approach taken prior to his arrival last March. But the
system he found in place when he joined Keystone Mercy was far from a laughing matter.
"The system would routinely fail almost every day, for three to four hours at a
time," Jones commented. "In the fall of 1997, the system went down, and we were
out for almost two weeks straight."
Jones turned to CoreTech to analyze Keystone Mercys computer network, and propose a
fix. But the CoreTech team, led by Kevin Watkins, quickly found that the network was
hopelessly patched together and beyond simple repair. "We stopped our work and told
Keystone they should take the money they had budgeted for our analysis, and spend it
instead on implementing a new system," Watkins stated.
At the same time, CoreTechs initial study paid immediate dividends. For instance,
the team found unused fiber optic cable installed between two of Keystone Mercy Health
Plans buildings. CoreTech immediately began using the cable to replace existing data
circuits, eliminating nearly $50,000 in costs and providing more than 10 times the
bandwidth.
Watkins and the CoreTech team, meanwhile, designed and implemented a Next Generation
network, including hardware, software, and best in class operating procedures. The most
important design objective was exceptional, rock-solid reliability. CoreTech wanted to
design a network environment that could automatically recover from virtually any system
failure almost immediately. "We took advantage of leading-edge technologies and
combined them with our best-in-class processes to create a network that delivers
continuous value to the business", said Watkins.
The result of CoreTechs efforts is that the network performs better than anyone at
Keystone Mercy could have imagined. "We can now virtually guarantee clients almost
100 percent uptime and that translates into real dollars
one million dollars a
day," said Jones. Network downtime has been cut to less than one day a year, a far
cry from the 27 days recorded in 1997.
Keystone Mercy workers have noted a dramatic improvement as well. A daily payroll report
that used to take half an hour to process is now finished in seconds. The backlog of
claims is steadily shrinking, and is at its lowest level in five years. And Jones notes
that the systems imaging software works so well that at first, Keystone Mercy Health
Plan employees thought it was broken, because it scanned claims documents so quickly that
they believed it must be missing the paperwork.
"CoreTech has made it possible for us to adopt the newer technologies we should have
implemented before," stated Jones. "With a solid infrastructure in place, we can
move to standardizing our desktops on Microsoft Windows 95 and Office 97, and no longer
have to simply make do with what our network will handle."
About Keystone Mercy Health Plan
Keystone Mercy Health Plan helps nearly 240,000 people in the five-county region of
Southeastern Pennsylvania access quality health care services. Formed in 1996, Keystone
Mercy Health Plan is the largest managed care provider for Medical Assistance recipients
in Pennsylvania and the largest multi-state Medicaid managed care provider in the nation,
with nearly 600,000 members in five states. More information may be obtained from
www.KMHP.com.
About CoreTech Consulting Group
CoreTech Consulting Group is an Information Technology consulting firm that partners with
clients to favorably manage the impact of new technologies throughout their organization.
Solutions developed by CoreTech help companies reduce the risk, minimize the negative
effects and ultimately provide greater business value by assisting their clients in
understanding and managing the broad implications new technology may have on their
organization, processes and people. CoreTech has regional offices located around the
United States, including Philadelphia, New York, Baltimore, and Atlanta. More information
about CoreTech may be obtained from www.CoreTech.com,
or by calling 800-220-3337.
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