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Health Insurance verified Verified Outcome TRL 9

Care Coordination & CRM

domain Client: A major health insurance payer handshake Provider: Salesforce Health Cloud schedule Deploy: 2022
85 Impact
Enterprise Ready
Evidence Score: B/10
Strength: Medium

Executive Summary

ANALYST: COI RESEARCH

Implementation of a clinical operating model on CRM to unify member data and orchestrate care management.

rate_review Analyst Verdict

"Low Risk. Validates CRM as the default 'engagement layer' over legacy claims systems."

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Full Audit Report Available Includes Risk Register, Technical Specs & Compliance Data.

warning The Challenge

Fragmented member data forced care managers to toggle between multiple screens, slowing outreach and reducing effectiveness of chronic care management.

psychology The Solution

Deployed Salesforce Health Cloud as the 'Enterprise Clinical Operating Model'. Aggregated data into a single view and automated task creation for care managers.

settings_suggest Technical & Deployment Specs

Integrations
Claims System
Deployment Model
SaaS
Data Classification
PHI / PII
Estimated TCO / ROI
Moderate
POC Summary ( to )

"N/A"

shield Risk Register & Mitigation

Risk Factor Severity Mitigation Strategy
Data Latency Low Real-time integration

trending_up Impact Trajectory

Audited value realization curve

Delivered care 4x faster Verified Outcome
Primary KPISaved $6 million in InfoSec costs
Audit Cycle33% higher care plan adherence

policy Compliance & Gov

  • Standards: HIPAA
  • Maturity (TRL): 9
  • Evidence Score: B/10
  • Data Class: PHI / PII

folder_shared Verified Assets

description
Verified Case Study
PDF • Version 1
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Technical Audit
PDF • Audited
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Security Architecture

The "Blind Verification" Protocol

How we verified these outcomes for A major health insurance payer without exposing sensitive IP or identities.

Private
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1. Raw Evidence

Audit ID: #PRIV-475
Evidence: Direct SQL Logs
Public
public

2. Verified Asset

Outcome: Verified
Ref ID: #COI-475

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