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Building Business Logic from the Ground Up: How Curate Helped a Healthcare Client Launch a Smarter Case Management System

Focus Areas

Business Logic

Clinical Decision Support

Data Modeling

Business Problem

In the evolving world of healthcare technology, having the right data is only part of the equation—understanding and operationalizing that data is the real challenge. One healthcare organization was developing a new clinical case management system designed to streamline insurance case reviews. But there was a major roadblock: the business logic that would drive the system didn’t exist yet.

Clinicians had no structured data or tooling to guide their decision-making. The project demanded a clean slate approach—creating a data-driven framework from scratch that would empower clinical teams to work faster, smarter, and more effectively.

That’s when they brought in Curate Consulting.

Key challenges:

The client’s vision for a modern case management platform was ambitious. However, the absence of core decision-making logic meant:

Clinical staff lacked structured tools to interpret and act on patient and insurance data.
There were no pre-existing rules or workflows for processing case information.
The platform needed technical intelligence that aligned with real-world clinical needs.

Everything—from foundational rules to complex data models—had to be created in parallel with the product’s development, without slowing down progress or compromising usability.

The Approach

Curate Consulting placed a skilled data science consultant at the heart of the initiative to help define, design, and deliver the system’s core intelligence.

Key actions:

Business Logic Framework Development
The consultant architected the first iteration of the system’s business logic—essentially codifying clinical decision pathways into actionable rules.

Cross-Functional Collaboration
Working closely with both the product and medical teams, the consultant ensured that technical decisions mapped to clinical realities.

Independent Technical Execution
With limited bandwidth from the internal team, the consultant independently tackled key components using SQL, custom data modeling, and fast-paced problem solving—navigating ambiguity with agility.

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Business Outcomes

Operational Intelligence

Built the foundational business logic for the platform, enabling structured case evaluations that are now used daily by clinicians.

Accelerated Data Model Delivery

Delivered data pipelines and dashboards that empower clinical users to review cases more efficiently and make faster, evidence-based decisions.

Skill Expansion and Delivery Excellence

By applying advanced SQL and data modeling in a high-stakes environment, the consultant not only drove project momentum but also upskilled in real time—bringing added value to the client.

Conclusion:

The engagement transformed what was once an idea into a tangible, functioning tool. With new business logic and data models in place, the client’s clinical teams now leverage real-time dashboards to navigate complex insurance reviews with ease.

Manual processes have been drastically reduced, and the system is now a scalable foundation for future enhancements. Despite the high level of autonomy required, Curate’s consultant delivered a solution that’s deeply embedded in the client’s operational workflows—demonstrating the power of persistence, adaptability, and technical precision.

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