Health plans historically have functioned as administrative middlemen that focus on "communicating their value through accurate eligibility, plan administration, claims processing, settlement and customer service."1 Now, CEOs see themselves "under constant threat of disintermediation" by new entrants, other plans, provider-payer collaborations or providers taking direct risk.
WHAT DOES OPERATIONAL TRANSFORMATION MEAN FOR PAYERS AND PROVIDERS?Operational transformation is about changing your business in a way that makes it possible for to meet the needs of your digital customers.
Unleashing potential. Achieving outcomes.
People expect more transparent, accessible and responsive services from the healthcare sector today. Meeting these expectations can be overwhelming. Any organization can make do with incremental change—at least, for a while. But building for the future demands bold moves and tough decisions.
Harnessing technology. Delivering change.
Technology never stands still. There is the constant ebb and flow of the old and the new, the traditional and the cutting-edge. Healthcare organizations can turn the promise of technology into performance—for the organization and for the people it serves—by embracing change.