Clients & Case Studies

Availity and PIP Build a Scalable Provider Data Management Solution 

Innovative healthcare platform developer Availity leveraged PIP’s application and product development expertise to scale up and deliver a transformative and HIPAA- compliant solution for a health plan client.

availity-enterprise-apps-case-study

Complex Initiative Expands Availity’s Capabilities

Availity knows healthcare, offering the most robust end-to-end clearinghouse and data-powered platform for health plans and healthcare providers. Yet a client required additional resources to support an unusually complex IT initiative and meet state compliance requirements. As a result, they turned to PIP’s team of technologists and solution architects to assess and assist in the execution of this complex project.

Industry: Healthcare and Technology
Service: Enterprise Apps

Learn more about application development

The Challenge

Availity’s platform gives health plans accurate, near real-time updates on provider data while directly engaging their distinct provider networks and while enabling state and federal regulatory compliance. Health Plans face a daunting task of communicating with hundreds of downstream systems to align all the updates from their provider network. This health plan had an ongoing project to improve their consumption which was in the last phases and needed help pushing through the last hurdles.  They required a strong technology consulting partner with proven industry experience to put in the last few vital components for success – and do so cost-effectively.

The Solution

PIP assessed the technology environment, developed a future state solution, and established a global delivery model. The proposed solution and supporting project roadmap offered reduced complexity and costs by sourcing the right skill sets and resources, and enabled true Agile methodology — including over 15 scrum teams and 24/7 support to keep the platform running smoothly.

The Results

Availity and PIP were able to finalize a project that had been stalled in process for years, and create a product with the potential to be resold in the marketplace. In addition to meeting compliance regulations, the solution was delivered at a much lower cost, while maintaining quality and meeting every deadline — despite the increased scope and changing stakeholder needs.

Grooming & Development of Mid-to-Large Functionalities

Data Elements Updated Across Systems

Compliant with State-Specific Needs and Maintaining State and Federal Regulations

Scrum Teams Managed by PIP
Mark-Martin

“We needed a solution to connect a multitude of health data points, while ensuring the data was transferred through hundreds of downstream systems. We required that any collaborators have experience solving problems within healthcare and working successfully in an on-premise environment. We chose PIP, and they delivered at every step.”

Mark Martin 

Director, Health Plan Portfolio | Availity

Expanding Market Reach By Solving Bigger Industry Challenges

When Availity’s client proposed a regulatory compliant application to connect over 700 data points across systems, Availity wanted to deliver. This challenge, while a component of Availity’s work, reached beyond the existing realm of portals and clearinghouses to a complex internal, on-premise environment.

After partnering with PIP for IT due diligence, the conversation shifted from “could it be done?” to “how can we do it?”

Together, the Availity and PIP teams collaborated to design a cost-effective delivery plan, leveraging a flexible staffing model and rapid resource scalability. At the project’s peak, PIP managed over 15 scrum teams.

In the end, Availity delivered an innovative solution to their client, while reducing overhead and mitigating additional risks.

enterprise-apps-case-study-healthtech
Jack-Hunt

“A partner who quickly provides the right skills in the right place at the right time is a must-have — and PIP did just that. At the height of our project, we had 15 scrum teams across the globe. PIP enabled us to deliver an extraordinary product to our client.”

Jack Hunt 

CTO | Availity

PIP Successfully Completes A Complex Custom Platform Development Initiative

With PIP’s help, Availity launched a complex custom development platform in compliance with state agencies, optimized to reduce implementation costs for Availity.

Due Diligence

Availity tapped PIP early to perform due diligence. While the plan in its original formulation could work, PIP identified opportunities to optimize the plan to reduce costs and decrease time to market.

Pragmatic Planning

The due diligence informed planning, transitioning the analysis away from assessing whether the plan was feasible, to identifying the best path forward to maximize outcomes.

Global Flex-Resource Model

○ A flexible global staffing model was established, which PIP uses to deliver complex projects at speed.

Dev & Support Plan Execution

Availity and PIP collaborated to execute on development and support plans, meeting every key milestone across scope, budget, and quality.

Statewide Compliance

In addition to overall project execution, PIP assisted Availity in launching the platform in compliance with critical state agencies.

“This project was an opportunity for Availity to create an entirely innovative technology solution to support a health plan client. PIP helped us formulate a plan as an opportunity — and now we know what’s possible.”

Mark Martin

Director, Health Plan Portfolio  | AVAILITY

Optimized Implementation Plan Meets All Goals

In taking on this platform project, Availity had multiple goals, including: supporting a valued client, expanding development capabilities, and finding out what was possible with the client’s technology. At the same time, Availity needed to do this in an efficient manner, despite increased scope.

Delivered on time, scope, quality, and budget
Leveraged a flex staffing model to scale delivery
Designed a compliant, innovative health platform
Provided 24/7 support and scaled at speed

“We turn to PIP for their relentless commitment to customer service. Delivering high-quality service, regardless of the project size, is part of their DNA. We have needs that demand anywhere from 2 to 150 people; having a flexible collaborator with a proven track record is a true asset to our business.”

Jack Hunt

CTO | Availity

In the end, the Availity team and PIP hit every target. With PIP’s help, Availity delivered a compliant and innovative platform on a tight timeline to their client and expanded market possibilities with an optimized plan and improved resourcing.

Related Resources

Discover More Thought Leadership & Insights

Explore our other case studies to see how we solve complex challenges for top-level performance equity firms and portfolio companies.

Read More Case Studies 

Design. Develop. Deploy Better Technology With PIP.

Leverage the technologists at PIP for your complex technology deliverables.

Talk With a PIP Team Member