CORE Services

Centecore is more than IT or website design.

With over 50 years of combined experience in the healthcare and insurance industry we use a holistic approach to solving your specific needs. With a mix of Custom Software Development, UX Design, Systems Integration, Infrastructure & Network Design, Data Architecture, and Business Analytics we are truly a turnkey solution to all of your business needs.

What is Centecore?…the answer is simple, whatever you need it to be.

CORE Services

Core creative services

Not only can we build systems to suit your business needs but we can also make them look good and fit your branding. If you don’t have branding we have the team to create your branding for you. We can also work closely with your marketing department to make sure everything fits and is consistent with all of your branding.

If you don’t have a marketing department and need to start fresh with new marketing, branding, website and all the collateral material that goes with it we can become your turnkey one point of contact solution for everything you need.  We can work with you to find out solutions to improve your business.

Our mission from day one will be to work with you to design and build websites and systems that are easy to maintain, forward thinking, and produce measurable results.

A Turnkey Solution

Although we may be wizards we don’t operate behind a curtain, delivering the product, then running away once it’s complete. Instead, we will work with you to develop solutions and systems that you can maintain or that we can maintain for you. We can either help empower you to be more involved with your website as we teach and empower you to promote your business or we can handle that for you and just inform you and provide you with custom analytic reports to show you results.

Here are just a few creative services we can offer your business.

  • Branding & Marketing
  • Website Design & Development
  • UX Design
  • Intranet Design & Development
  • Social Media Management
  • Collateral & Print Design

CORE Services

Core data warehouse

The term “Data Warehouse” means different things to different people and can be explained using several different technological methods. However, when it comes to the data that will be used to make business decisions and that your business operations will depend on, there are key points any “Data Warehouse” must have. These are:

  • The Data MUST be accurate and timely
  • The Data MUST be easily accessible to those who need it
  • The Data MUST be formatted so it can be understood
  • The Data MUST be secured, protected and backed up
  • The Data System MUST be responsive and provide results quickly

To meet those needs, the next question is – What kind of Data Warehouse do we need? That answer is simple: Whatever design best supports your business needs now and is scalable to grow with your business in the future.

The staff at Centecore has been helping businesses answer this question for over 25 years. Our experience includes many different industries including health care, logistics, education, government, and a variety of commercial trades. This diversity of experience allows us evaluate your current situation, understand your future goals and architect a solution to meet your needs.

Our core philosophy for Data Warehouse design is that the data it contains MUST be accurate and can be trusted to support your business. Therefore, we also incorporate methods that make auditing your data not only possible, but easy.

To help you better understand how we view a data solution; consider how a Data Warehouse System would compare to a large, strong tree made up of three primary sections.

DWTree

The roots of the tree are rarely ever seen, but they are a complex system that must be in place and operating efficiently to provide nutrients to the tree. Without the roots, the Trunk and the rest of the tree will not survive.

The Data Warehouse “Root System” is an automated workflow process that brings all data sources into the Data System. This may include data from many different types of files, web services, FTP sites and downloads. To ensure the integrity and strength of the entire system, the data from these sources are validated, matched against any business rules and staged to move into the core system. Only when the data looks perfect is it allowed to be integrated for production.

The trunk of a tree is the strength and support for the entire tree. It allows the tree to withstand strong weather and support the tree as it continues to grow larger.

The trunk represents the core of the Data Warehouse. If the data it contains is strong, complete, reliable and accurate; the Data Warehouse can continue to grow and withstand future storms. Many times, this section of the Data Warehouse is referred to as the Operational Data Store.

Lastly are the branches. These expand in all directions and hold all the leaves, fruit and final crop of the tree. The stronger the tree is, the more it can produce.

The final product of a Data Warehouse consists of reports, dashboards, data exports, analytics and data marts. While the core system is accessible when needed; it is these resources that are used daily for business activities and decisions.

Whether you need a Tree, or a global Forest… Centecore welcomes the opportunity to work with your business to ensure your Data Warehouse is built to provide the strong data foundation that will allow you to grow and flourish now… and in the future.

CORE Services

Core advanced analytics

Business intelligence (BI) can be described as “a set of techniques and tools for the acquisition and transformation of raw data into meaningful and useful information for business analysis purposes”. The term “data surfacing” is also more often associated with BI functionality. BI technologies are capable of handling large amounts of unstructured data to help identify, develop and otherwise create new strategic business opportunities. The goal of BI is to allow for the easy interpretation of these large volumes of data. Identifying new opportunities and implementing an effective strategy based on insights can provide businesses with a competitive market advantage and long-term stability.

BI technologies provide historical, current and predictive views of business operations. Common functions of business intelligence technologies are reporting, online analytical processing, analytics, data mining, process mining, complex event processing, business performance management, benchmarking, text mining, predictive analytics and prescriptive analytics.

BI can be used to support a wide range of business decisions ranging from operational to strategic. Basic operating decisions include product positioning or pricing. Strategic business decisions include priorities, goals and directions at the broadest level. In all cases, BI is most effective when it combines data derived from the market in which a company operates (external data) with data from company sources internal to the business such as financial and operations data (internal data). When combined, external and internal data can provide a more complete picture which, in effect, creates an “intelligence” that cannot be derived by any singular set of data. Amongst myriad uses, BI tools empower organisations to gain insight into new markets, assess demand and suitability of products and services for different market segments and gauge the impact of marketing efforts.

Medical Economics Summaries

  • Segmented by Delivery Type (Inpatient, Outpatient, Professional, Ancillary, Rx)
  • Drillable to Service (e.g. Inpatient – Surgical, Outpatient – Diagnostic, etc.)
  • Weighted Cost & Utilization Metrics (Days/1,000 – Payment PMPM – Cost per Visit, % Generic, etc.)

Top 25 Procedures

Top 25 Diagnoses

Emergency Room Utilization Tracking

CORE Services

Core enrollment systems

Are you still managing enrollment with paper forms or entering data by hand?

Insurance benefits are a fact of life and requires a dizzying maelstrom of records, record updates, changes, and claims. It requires your HR staff to face longer hours, tighter budgets, and increasing complexity in managing employee benefits. It is possible to streamline benefits enrollment and administration to bring much needed relief.

Your employees need to manage benefits, compliance, data and costs all year long, not just during open enrollment. Through strategic planning and automation or records and clamis processing you can make things easier and less time consuming. We do this not by offering fewer benefit options. In today’s economy, employers need every advantage available to recruit and retain the employees who grow their business and health benefits are no longer optional benefits.

CoreES offers cutting edge web based systems using our groundbreaking integrated Core systems designed to reduce and stream-line the workload of benefit administrators.  Managing both eligibility and electronic data feeds and consistently updated records to all the carriers and being available both to the member and the administrator with reliable up to date data.  We automate most of these processes allowing for increased efficiency and accuracy of employee benefits.

Key Features:
  • Easily maintain employee eligibility data
  • Track dependent information
  • Electronic Data Interchange (EDI) with benefit carriers, vendors and other systems
  • Maintains benefit plan history
  • Auto-enroll default benefit feature and plan bundling
  • Standard and customized reporting
  • Data import and export functions
  • Web enrollment module
  • Self enroll, agent assisted, call center enrollment options
  • Enrollment maintenance system
No more searching through file folders and forms. Automation reduces staff time spent doing repetitive tasks.

The CoreES system has the capability to store a company’s benefits plan rules, including eligibility restrictions, waiting periods, volume and age calculation frequencies, while maintaining benefit plan coverage and rate history. This system will track all eligible employee data and dependent data.

CORE Services

Core data integrity

Data integrity is often overlooked, but it is the backbone of your business.  If your data is wrong or incomplete you cannot make the best business decision possible.  One key aspect of data integrity in any data system that works with members or “by person” data is correctly identifying a unique person and matching that unique person to all their related information.  That information could span many years and many different aspects of that person’s life.

This is an extremely difficult thing to maintain but it is a critical aspect to the implementation and usage of any system which stores, processes, or retrieves data; especially when a person’s health insurance and/or medical information is involved.

That is the situation CoreMATCH was designed for!  CoreMATCH looks at all data elements available about a person and assigns a Unique ID to that person.  Then as data is obtained about that person, regardless of how many years it may span and any life changing events the person may have, all the data is matched to that unique ID.

lifestages

By incorporating 40 data elements in over 25 proprietary cross referenced combinations, the unique IDs generated by CoreMATCH attains a 99.975% accuracy level or better.

Additional features of CoreMATCH include:

  • A weighted factor matrix using diminishing probability that allows each client to set their level of “comfort” for data acceptance
  • All ID results are linked back to original data for audit and verification purposes
  • Customization that allows data elements and ID patterns from existing data systems to be integrated
  • Can be used as a one time tool, or when combined with our CoreDW system can evaluate years of historical data

Especially in the Health Care field, having a unique person level ID can tie together data from various sources such as:

  • Insurance Coverage Spans
  • Claims Data
  • Care Management Systems
  • Primary Care Physician (PCP) Selection
  • Rx Data
  • Lab Data
  • Treatment Authorizations
  • ER and In Patient Stays
  • Outpatient Services

In turn, analytics are then possible to accurately track and report on:

  • Care Gaps
  • Rx Adherence
  • HEDIS Measures
  • NCQA Accreditation
  • Care Management Incentives and Health Coaching
  • MUCH MORE!

We look forward to discussing your needs and determining how CoreMATCH can help you.

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