Charter Management Implements DataCare’s Utilization Review Platform

This document is a case study detailing the implementation of DataCare’s Utilization Review platform by Charter Management Company for its Utilization Review division in Massachusetts. The objective was to replace a legacy system that had been in operation for over two decades, ensuring compliance with stringent regulatory requirements while maintaining established workflows. The implementation involved a thorough requirements analysis and close collaboration between DataCare and Charter’s leadership to configure workflows that align with Massachusetts regulations. The new platform supports various processes including intake, nurse review, and appeals handling, while ensuring audit readiness and operational continuity. User enablement was emphasized through structured training sessions, which facilitated a smooth transition. The outcome of this implementation is a centralized system that enhances operational consistency and reduces risks associated with legacy technology, while providing leadership with improved visibility into Utilization Review activities. The case study illustrates the significance of aligning technology modernization with regulatory workflows.