Implement a Nimble Strategy Without Upfront Costs
As 2025 unfolds and CMS hints at tightening the screws on Medicare and Medicaid compliance, healthcare organizations face new layers of policy uncertainty. With legacy systems already straining to keep up, further regulatory hurdles pose a dilemma for leadership: pour additional resources into manual processes or embark on a costly multi-year system overhaul?
Few organizations have the risk appetite or cashflow for a full “rip-and-replace.” Industry stats don’t inspire confidence: 50-70% of large IT projects fail to deliver and most overshoot budget and timelines. For most smaller MCOs, this makes system replacement a non-starter.
Meanwhile, non-compliance risks – audits, penalties, interest costs, and lost revenue – lock teams in a reactive cycle, fighting fires instead of focusing on strategic priorities.
The 80/20 Rule
“Nimble is the new smart for MCOs.” — Chris Sawotin, CEO, CureIS Healthcare
With two decades of expertise in managed care solutions, Chris Sawotin champions precision. “We find that 20% of data issues typically drive 80% of non-compliance. Target those and you’ll see results within weeks without having to overhaul your entire system.”
However, hard-coded enterprise systems are notoriously complex, often requiring extensive manual updates for every change. So, how can MCOs achieve rapid compliance?
Address What Matters Most
CureIS client feedback identifies data visibility as crucial to success. A California claims manager told us, “You can’t fix problems you can’t find.”
The CureIS approach works by seamlessly wrapping around any system to:
- Uncover and analyze data anomalies fueling non-compliance and financial impacts.
- Prioritize solutions for the highest-impact problems first.
- Support teams with real-time visibility and reporting to enable proactive compliance.
- Automate remediation to eliminate recurring data management issues.
No Upfront Costs, Vendor Accountability
With transparent pricing and no upfront costs, CureIS places accountability on the vendor—where it belongs—and ensures our success is tied to yours. Our managed services model includes continuous enhancements and complex updates delivered in hours or days—at no extra cost.
The CureIS Difference
At CureIS, nimble, intelligent automation is not just a promise, it’s a mission driven by our philosophy that efficient managed care enhances lives. Our client-focused commitment means:
- No Implementation Fees: Get started without financial risk.
- Rapid Deployment: Achieve meaningful results in 3-4 months, not years.
- Guaranteed Results: The CureIS guarantee is backed by our 100% success rate – no failed solutions in our history.
- Seamless Integration: Add-on tools enhance your current system—no need for a costly overhaul.
Beyond Penalties – the Business Case for Compliance
Strategic compliance isn’t just about avoiding penalties. It protects reputation, ensures revenue integrity, and boosts operational efficiency. By targeting the crucial 20% of issues driving non-compliance, MCOs can streamline processes, reclaim resources, and focus on growth.
Connect with the experts at CureIS who understands your challenges.
