Historically, our healthcare IT organizations have spent time and resources on implementing point solutions for departmental issues. Although this method of operating was viable in the past, it is simply unsustainable in today's competitive and disruptive landscape where change is a constant and the focus is customer-centricity. To address this, healthcare payers need an agile platform that can seamlessly roll with these changes.
According to leading analyst firm Gartner:
"THE COSTS OF POOR PROVIDER DATA MANAGEMENT INCLUDE THE DIRECT, IMMEDIATE COSTS OF COMPLIANCEAND REDUNDANT OPERATIONS. PAYERS CAN TRANSFORM PROVIDER OUTREACH, ENHANCE QUALITY, INCREASERISK SCORES AND IMPROVE CARE MANAGEMENT BY CENTERING PROVIDER OPERATIONS ON ONE PLATFORM WITH CROSS-FUNCTIONAL AND CROSS-ORGANIZATIONAL WORKFLOWS"
"ADVANCE HEALTHCARE PAYER-PROVIDER/PARTNER ALIGNMENT BY SOLVING PROVIDER DATA PROBLEMS" PUBLISHED MARCH 21, 2017
That is why leading healthcare organizations are looking to a digital transformation platform approach with advanced capabilities that can achieve a unified view of their data from across their systems.
The Appian agile platform for healthcare allows payers to integrate data from any source onto one, unified platform, thus enabling access to the right information about members and providers at the right time. This visibility, in turn, gives healthcare organizations the agility to competitively respond to market and member demands.
Creating a unified view by integrating provider network management and clinical application information with financial applications can bridge the gap between legacy IT systems. This lays the groundwork for further transformation, like applying powerful business rules to speed operations, manage risk and regulatory compliance, and reduce expenses.
I see a turning point for healthcare payers who want to stay at the front of their game. More than ever, there needs to be a willingness to take on the challenges and respond to market opportunities. Continuing to rely only on existing technologies and fragmented solutions will lead to a loss of competitive advantage.
Drop me an email and we can explore how Appian, the Digital Transformation Platformô, can help your organization spur operational efficiency, better engage with your members and providers, and deliver measurable quality care.
Learn more by visiting our healthcare payer site for resources and information to help you on your digital transformation journey.
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