Case Study: a premier post-acute home-based care services company modernizes utilization management with Cybage

premier post-acute home-based care services company boosts efficiency by 40% with Cybage

Cybage was engaged by a premier post-acute home-based care services company to modernize its legacy utilization management system. The client faced significant challenges, including server instability, frequent downtime, an outdated user interface, and a reliance on manual processes. They needed to migrate to a sophisticated cloud-based platform, transition to a patient-centric workflow, and enable seamless data exchange with external applications to streamline operations.

Cybage implemented a strategic modernization solution that included developing a new user-friendly interface and enhancing the patient medical record navigation. They automated critical business rules using the InRule decision engine and built key integrations for eligibility checks and claims processing. As a result, Cybage delivered a system that now processes over 72,000 prior authorizations and 85,000 letters annually, onboarded 20+ health plans, and raised efficiency by 40% with an automated intake process, all while achieving zero downtime.