Leveraging the Power of
Data to Improve Lives

The nation’s largest healthcare payer engaged CORMAC to help build a big data repository that integrates complex Medicare Parts A, B, C, D Claims, as well as beneficiary and provider data. The big data repository is the backbone to analytics that helps the customer better support new healthcare models under the Affordable Care Act (ACA); curtail Medicare fraud, waste and abuse (FWA); and reduce improper Medicare payments.

For over 10 years, CORMAC has specialized in visualizing complex enterprise data to reveal the performance of various programs and mandates. Using Agile and HCD techniques, we’ve built 40+ dashboards, including the Affordable Care Act (ACA) dashboard used by the White House, the New Medicare Card Project (NMCP) dashboard for HHS/CMS management, and the Medicare Administrative Contractor (MAC) performance dashboard for CMS administration.

CORMAC built a system to curtail payments to excluded providers in support of HHS/CMS’ program integrity efforts. The repository and its data-driven alert system leverage Data as a Service (DaaS) to collect, store and analyze provider exclusion data from the Office of Inspector General (OIG). It shares this information with stakeholders via a public-facing website, helping them identify and deny claims submitted by excluded providers.

In support of the five Post-Acute Care (PAC) Quality Reporting Programs (QRPs) under the ACA and IMPACT Act, CORMAC collects health quality measure data, performs advanced analytics and produces compliance reports. This work helps determine compliance status for Hospice, IRF, LTCH, SNF and HHA QRPs, resulting in reduced cost and improved quality of care.

In support of the ACA, CORMAC created and maintains the Oncology Care Model (OCM) DataRegistry. Implemented in AWS cloud, the Registry collects demographic, clinical, and staging data and quality measure performance data on up to 200 oncology practices. Our work promotes practice transformation, supporting better health outcomes and reduced costs for beneficiaries.

Past Performance Evaluation is a tedious and time-consuming process for the federal government. CORMAC completed Phase 1 of a prototype to determine the extent to which AI can assist contracting officers in making more efficient and effective use of CPARS data. The CPARS AI prototype used CORMAC’s CREPES product, which leverages Machine Learning (ML), Natural Language Processing (NLP) and Data Visualization.

The nation’s largest healthcare payer engaged CORMAC to help build a big data repository that integrates complex Medicare Parts A, B, C, D Claims, as well as beneficiary and provider data. The big data repository is the backbone to analytics that helps the customer better support new healthcare models under the Affordable Care Act (ACA); curtail Medicare fraud, waste and abuse (FWA); and reduce improper Medicare payments.

DBA is a major component of supporting the agency’s information systems and achieving effective, up-to-date health care coverage to promote quality care for beneficiaries. Our innovative DBA services ensure secure operational effectiveness and efficiency as well as availability of CMS Oracle and SQL Server databases.