Case Study: SummaCare - Partnering with Source for Digital Transformation in Payment Integrity

Digital Transformation in Payment Integrity: SummaCare’s Success Story

SummaCare, a local provider-owned health plan based in Ohio, has achieved significant milestones in its commitment to payment integrity through digital transformation. Serving approximately 62,000 lives, the company offers various lines of business, including Medicare Advantage, self-funded, fully insured, and Marketplace options. Having been in business since the early 1990s, SummaCare recently celebrated 25 years as a Medicare Advantage plan, marking a notable achievement in its history.

The organization's workforce includes over 300 dedicated employees passionate about serving the local community. By partnering with Source, SummaCare has effectively leveraged advanced technologies to enhance payment integrity processes. This partnership reflects SummaCare's ongoing dedication to innovative solutions that address the evolving needs of healthcare management.

This case study highlights SummaCare's strategic initiatives in digital transformation, detailing the benefits and improvements realized in payment integrity. It underscores the company's unwavering commitment to operational excellence and community service.