Progress Case Studies MarkLogic Provides Access to Healthcare Insurance for Millions of Americans
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MarkLogic Provides Access to Healthcare Insurance for Millions of Americans

Progress
Application Infrastructure & Middleware - Database Management & Storage
Healthcare & Hospitals
Business Operation
System Integration
The US Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) had to develop a Health Insurance Marketplace (HIM) and Data Services Hub (DSH) that would allow millions of Americans to shop for insurance, check their eligibility against dozens of federal and commercial data sources, and provide a way for state health exchanges to connect. This was the first time the US government would tackle an IT project of this kind. CMS had to overcome some daunting challenges: Strict time constraints, Stringent security requirements, Multiple data sources, An unknown data specification, Scalability.
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The US Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) is a government agency responsible for administering the nation's major healthcare programs. CMS oversees programs including Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Health Insurance Marketplace. The agency aims to provide access to high-quality healthcare, improve the health of the populations it serves, and reduce healthcare-related costs.
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CMS concluded that the MarkLogic Enterprise NoSQL database platform provided the scalability and agility required to meet an 18-month timeframe from software procurement to launch. The teams working on this initiative realized the effort to complete this project would take too long using a traditional relational database. MarkLogic's schema-agnostic data model ingests data as-is and adapts to modifications, as new data sources are included and as policies or regulations change, to help meet tight deadlines. MarkLogic was the only platform able to process massive amounts of poly-schematic information while simultaneously offering ACID-compliant transactions.
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Faster time to production. MarkLogic helped CMS get the Healthcare.gov site running within 18 months.
Nearly limitless scalability with record-breaking performance. MarkLogic has supported 160,000 concurrent users and delivered over 99.9% availability.
A seamless online shopping experience for Healthcare.gov users. MarkLogic's schema- agnostic data model provided CMS the ability to manage and integrate data "as is" so data from multiple states, government agencies, health plan providers, and personal information from millions of Americans did not have to be recoded.
In less than 5 months after the website launched, MarkLogic supported 5,500+ transactions per second (TPS-back-end transactions to database) to help over 8 million people sign up for health insurance.
More than 99.99% of queries have logged response times of less than 0.1 seconds, without any data loss or data inconsistencies.
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