Case Study: Molina Healthcare Inc., USA

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Molina Healthcare Inc., USA

This chapter was originally published in Intelligent Adaptability

Nominated by Datum Solutions, United States 

Molina Healthcare, Inc. (Molina), offers health plans, clinical care and health information management to families and individuals covered by Medicaid, Medicare and other government-funded programs. With data held in complex medical charts, Molina found it challenging to meet deadlines for evaluations and audits by the Centers for Medicare and Medicaid Services (CMS), risking millions of dollars in potential lost revenue and audit penalties. By centralizing medical records in a single repository with integrated case management, the organization can retrieve chart data 50% faster—helping it meet regulatory requirements, avoid penalties and potentially qualify for millions in bonus payments.

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