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New Approaches to Member and Provider Care Coordination

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Download a free Gartner report on the healthcare payer CIO's guide to the industry megatrends: https://ap.pn/2L6YMQ4

This is a critical time for healthcare. The right technology can help health plans push forward and deliver new, innovative solutions that satisfy their providers and members. However, legacy architecture and siloed information still remain a challenge.

Disruptions continue to challenge leaders to reimagine and reinvigorate their business models and deploy the necessary technology to support their key initiatives.

How do payers push forward in an era of rising costs, market disruption, and mounting member expectations across the care continuum?

Download your free Gartner report on the latest trends for healthcare payers: https://ap.pn/2L6YMQ4

Published in: Healthcare
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New Approaches to Member and Provider Care Coordination

  1. 1. New Approaches to Member and Provider Care Coordination
  2. 2. Challenges The right technology can help health plans push forward and deliver new, innovative solutions that satisfy their providers and members. However, legacy architecture and siloed information still remain a challenge.
  3. 3. Disruptions continue to challenge leaders to: deploy the necessary technology to support their key initiatives reimagine and reinvigorate their business models
  4. 4. How do payers push forward in an era of... rising costs, market disruption, and mounting member expectations across the care continuum?
  5. 5. Health IT challenges Top of mind for Healthcare CIOs is finding new technologies and ways of delivering better experiences for members and providers.
  6. 6. Challenges include: These challenges are not new, but as digital solutions come into play, even more challenges pop up, and will persist for many years to come. Increasing demands for lower costs, better access to care, transparency, and personalized services and experiences Unsustainable, high cost of care Pressure to operate more efficiently and perform more intelligently
  7. 7. What's new? Healthcare payers’ options for meeting these challenges has changed. Having the right digital transformation solution implemented or in the near-term roadmap will differentiate savvy health- care payer organizations from those who get left behind.
  8. 8. New approaches to care coordination To better serve members and providers across the digital care continuum, healthcare organizations are increasingly turning to an agile platform approach to application development.
  9. 9. A platform approach It aggregates all data from across systems and connects health devices into one interface to give payers the right information at the right time. This approach is allowing them to process claims correctly for providers the first time, and coordinate the most appropriate and personalized care for members. This saves time and money that is currently being spent on manual processes and potential errors.
  10. 10. The Appian platform The Appian platform for healthcare can break down silos and tap into various data sources, including blockchain, to provide complete, actionable views of relevant data.
  11. 11. Process automation Appian’s leading process automation capabilities, turbocharged by robotic process automation (RPA), intelligently streamlines important steps across the care continuum, such as prior authorization processes, increasing external satisfaction and internal efficiency.
  12. 12. Championing transformation in healthcare Healthcare organizations across the United States are embracing the powerful platform approach that Appian offers. Take the example of AIM Specialty Health (AIM), a benefits management organization with over 50 million members. AIM 50 MILLION MEMBERS
  13. 13. One unified interface Using the Appian Platform, AIM is consolidating eight systems into one unified interface that increases data visibility into their core operations.
  14. 14. Appian can help your organization navigate the digital care continuum to better serve members and providers. www.appian.com/new-approaches
  15. 15. appian.com/new-approaches

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