Speed, Competency and Cost Control

"The healthcare data exchange is mission-critical for our business. Data feeds must be processed accurately and on-time, so there are no gaps in member coverage. Meeting these requirements can literally mean life or death for a patient that needs their pharmaceutical benefits," says Bethe Price, Vice President of Operations. As the executive responsible for implementation, Bethe kept her eye focused on the project, the business needs, and managing her internal team as well keeping SCI apprised of the tactical priorities, resulting in a smooth implementation for VRx's business and clients.

Leveraging their experience architecting federally-compliant, highly secure, high-transactional volume systems, SCI recommended taking an iterative agile approach for the total lowest cost. The approach gave the VRx team the look and feel of the application, enabling them to make modifications along the way. The final result was a scalable and affordable solution that is providing daily data exchanges automatically at night with complete visibility, without any day-to-day involvement by VRx staff. Securely encrypted and decrypted information is immediately accessible for patient and provider inquiries. A protected web service enables single sign-on functionality and future capabilities were architected for member search, audit trails, benefits analysis and reporting.

By outsourcing and SCI managing the service, VRx rapidly achieved a mission-critical core capability--cost-effectively and with minimum involvement by its staff, enabling the staff to focus on the strategy, business development and growth of the business.

The trusted advisor partnership with SCI continues to help VRx meet the demands of its rapidly growing business. SCI has added additional functionality, as VRx business demands it.

Major Benefits to Outsourcing

• Speed to market of reliable software to administer client's core business processing requirements;
• Affordable implementation that met the budget, due to the agility and flexibility of SCI and SCI's team and the teamwork with VRx's team;
• A managed services approach, therefore, minimum involvement of client's staff in system development, freeing them up to focus on other important duties;
• Processing of large amounts of data exchanged automatically with trading partners during the night with no day-to-day involvement by staff, yet with complete visibility and auditability for users;
• Satisfaction of federally mandated system requirements, including reporting;
• An extensible database designed to provide ease in adding additional features and functionality, as business continues to grow;
• Standardized templates and use of best practices for systems development life cycle (SDLC), agile and quality assurance.