Oracle Customer Success — CNSI

CNSI

CNSI Powers Medicaid Systems in Three States, Accelerates Claims Processing, and Improves System Performance 4x

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Oracle SuperCluster enabled us to package our server, storage, and networking all in one. Oracle SPARC T5-2 and Oracle SuperCluster improved the performance and throughput of our Medicaid management information system and gave us headroom to turn on additional capacity. We can accommodate spikes easily and scale with growing claims numbers our customers need to process.

— Jay Majmudar, Senior Vice President, CNSI

CNSI delivers a broad portfolio of information technology and business process outsourcing solutions to a diverse base of federal, state, and local government agencies and commercial enterprises. The company has a presence in more than 10 cities, including a research and development center in Maryland and a center for technology and innovation in India.

CNSI has developed a strong presence in the healthcare sector as a leader in developing, implementing, and operating leading-edge technology solutions that modernize healthcare administration systems. It was the first company to implement a web-centric Medicaid management information system (MMIS), and continues to lead the way in addressing the many challenges that exist in the healthcare landscape by being the first in the nation to embark on developing an automated real-time and cloud MMIS. The company also delivers mobile applications that provide ready access to health benefits, cloud systems that enable more efficient processing of medical claims, and solutions that can eliminate improper billing and reduce waste, leading to better care, better health, and lower costs.

 
Challenges
  • Ensure ability to scale rapidly and guarantee high performance of the company’s MMIS solution platform and business applications as it continues to expand to new states and as Medicaid programs grow in the wake of the Affordable Care Act
  • Reduce operational expenses and simplify IT management via virtualization and consolidation as the company prepares for an upcoming datacenter move and continued growth
  • Provide a secure environment for patient healthcare data Meet service level agreements (SLAs) for data protection and availability through accelerated backup and restore operations
Results
  • Deployed 2 Oracle SuperCluster systems for the database tier and 14 SPARC T5-2 servers for the application tier—all running on Oracle Solaris—resulting in a 7 to 1 consolidation across the enterprise (85% fewer systems to manage), and reducing IT operating costs and complexity
  • Implemented a secure, multi-tenant virtualized, and highly scalable environment to segment MMIS on Oracle SuperCluster using Oracle Solaris with centralized management for CNSI, increasing performance for customers
  • Achieved three times faster backup windows for MMIS systems supporting two states with Oracle ZFS Storage Appliance and its DRAM-centric Hybrid Storage Pools architecture and high-speed InfiniBand networking technology
  • Achieved secure multi-tenancy for the company’s MMIS solutions, ensuring secure isolation, access control, and cryptography required to comply with protected health and personal information requirements
  • Accelerated Medicaid claims processing by consolidating Oracle’s database and CNSI’s Oracle Applications, including Oracle E-Business Suite and Oracle’s Siebel applications, onto the SPARC T5-2 servers
  • Gained the scalability to effectively support processing for millions of Medicaid claims, a figure that continues to grow rapidly as increasing numbers of Americans are covered by Medicaid programs
  • Achieved three to four times performance improvement for back-end MMIS system processing and five to one database server consolidation for State of Washington environment without code changes, and gained significant additional headroom for increased capacity thanks to engineered systems
  • Realized exponential performance improvement for ad hoc MMIS system queries, from hours to seconds; for ETL jobs, from 24 hours to less than 8 hours; and for batch jobs, from hours to minutes—boosting SLA performance and customer satisfaction with Oracle SuperCluster, SPARC servers, and Oracle Exadata Database Machine
  • Reduced database server use significantly from 80% to less than 25%, freeing capacity to support growth and delaying the need for additional investment
  • Virtualized MMIS applications and database using Oracle Solaris domains and zones, enabling CNSI to allocate processing capability more effectively, improve scalability, and boost agility
  • Reduced server sprawl and simplified IT environment management, freeing IT team for other strategic priorities, such as developing new functionality for the company’s MMIS offerings
  • Ensured ability to meet SLAs consistently, even during system usage spikes, such as open enrollment and during regulatory reporting—improving customer satisfaction
  • Used Oracle SuperCluster, SPARC T5-2 servers, and Oracle ZFS Storage Appliance as the foundation for a cloud MMIS, that will provide “Medicaid as a Service” and help customers using the solution to reduce Medicaid operational costs between 20% and 40% in the first five years
  • Streamlined system monitoring, ensured seamless operating system update installations, and benefitted from having the efficiency of a single solution—Oracle Enterprise Manager Ops Center—to manage infrastructure and software
  • Gained the ability to support a growing customer base without adding IT team members thanks to the easy-to-manage technology stack
  • Reduced downtime due to physical server failure by automating server pool migration of virtual machines from one physical server to another within that server pool
  • Ensured more efficient routing of support issues with automated service request capabilities
  • Automated patching of servers with minimum downtime and ensured ability to easily roll back to previous version if the new version has any issues

Why Oracle

CNSI selected Oracle solutions for several reasons. First, is the fact that Oracle SuperCluster contains hardware and software designed to work together—optimizing Oracle Database performance dramatically.
 

 

We wanted a solution that would optimally run our Oracle software, including Oracle E-Business Suite and Oracle’s Siebel applications. Oracle solutions delivered on every front. Oracle SuperCluster provided storage network and processing all in one appliance, which helped boost throughput in our database tier. Oracle SuperCluster, SPARC servers, and Oracle Solaris enabled us to virtualize, consolidate, and scale to meet the needs of our customers and terms of contracts. Additionally, security is critical when dealing with health-related data. Oracle Solaris ZFS’s data virtualization capabilities enable true separation of data sets, which is essential for us.

— Jay Majmudar, Senior Vice President, CNSI

Execution

CNSI deployed Oracle SuperCluster, SPARC servers, and Oracle ZFS Storage Appliance for its Medicaid system customers in three states, and was one of the first organizations in the healthcare industry to implement it. The company was also at the forefront of Oracle Exadata adoption, with systems running for three years with no issues. By 2017, the company plans to have four Oracle SuperCluster production environments in operation and bring several additional Oracle SuperCluster-based development environments online.

In addition, the company is backing up Oracle SuperCluster to Oracle ZFS Storage, benefitting from the storage system’s DRAM-centric Hybrid Storage Pools architecture and high-speed InfiniBand networking technology to accelerate the process.
 


About CNSI

Headquarters

 
Rockville, Maryland, United States

Employees

 
1,000

Annual Revenue

 
$100 to $500 Million
Published:  Mar 10, 2016