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Product Management Root Cause Analysis Question: Investigating sudden decrease in healthcare claims processing efficiency
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Nextsprints

Updated Jan 22, 2025

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What factors contributed to the sudden 30% decrease in data integration throughput for Arcadia io's claims processing module last week?

Problem Solving Data Analysis Technical Understanding Healthcare IT Insurance Data Management
Performance Optimization Root Cause Analysis Healthcare Tech Data Integration Claims Processing

Introduction

The sudden 30% decrease in data integration throughput for Arcadia io's claims processing module last week is a critical issue that demands immediate attention. This analysis will systematically identify, validate, and address the root cause while considering both short-term fixes and long-term implications for the product.

I'll approach this problem by first clarifying key details, ruling out external factors, and then diving deep into the product's user journey and metrics. From there, I'll form data-driven hypotheses, conduct root cause analysis, and propose a comprehensive resolution plan.

Framework overview

This analysis follows a structured approach covering issue identification, hypothesis generation, validation, and solution development.

Step 1

Clarifying Questions (3 minutes)

  • Looking at the timing, I'm thinking this could be related to a recent system update. Has there been any significant changes or deployments to the claims processing module in the past two weeks?

Why it matters: Recent changes often correlate with performance issues. Expected answer: Yes, there was a minor update. Impact on approach: If yes, we'd focus on change management and rollback procedures.

  • Considering the scale of the decrease, I'm wondering about data volume changes. Has there been any unusual spike or drop in the number of claims being processed recently?

Why it matters: Unusual data volumes can strain system resources. Expected answer: No significant changes in data volume. Impact on approach: If no, we'd look more closely at system-level issues.

  • Given the nature of claims processing, I'm curious about any changes in data complexity. Have there been any new types of claims or data fields introduced recently?

Why it matters: Increased data complexity can slow down processing. Expected answer: Some new fields were added for regulatory compliance. Impact on approach: If yes, we'd investigate data schema and processing logic.

  • Thinking about system dependencies, I'm wondering about any changes in upstream or downstream systems. Have there been any updates or issues with systems that feed into or receive data from the claims processing module?

Why it matters: Integration issues can significantly impact throughput. Expected answer: No known issues with connected systems. Impact on approach: If no, we'd focus more on the module itself rather than its integrations.

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