Healthcare Industry - Provider

Providers are in the midst of a revolution driven by a myriad of industry pressures – accountable care, population health, value-based contracting, as well as consolidation, consumerism, and cost and quality measures. The need to better utilize technologies, optimize processes, improve reporting and patient outreach, as well as reduce costs has never been greater.

High-performing and innovative providers seek out “possibility thinking” and advisors who understand healthcare and the provider business model and challenges intimately.  Provider organizations want to work with a partner who understands the complexities and pressures with which they are faced and can help them improve their operations, convert health data to health intelligence, enable compliance, empower collaborative care, improve revenue cycle management, and allow them to focus on the delivery of patient care.

Whether your goal is to scale and take your care coordination, telemedicine, or patient engagement program digital, improve satisfaction scores and consumer loyalty, streamline operational and business processes, improve patient outreach, insure compliance, or improve revenue cycle management, we can help.

In Which Area are You Seeking “Possibility Thinking” and Successful Execution?

We have an in-depth understanding of healthcare and the health insurance industry. Over the years, we’ve helped our hospital and health systems create significant operational, financial, sales, and patient care strategies and solutions through our dedication to practical, collaborative relationships and successful execution.
icon_Business Transformation

Business Transformation

Possibility Thinking + Efficient Processes
  • Patient throughput and discharge, workflow, and capacity management
  • Physician performance management
  • Value-based purchasing
  • Patient/caregiver portal and mobile
  • Patient engagement processes & tools
  • Billing, scheduling, and ECM integration
  • STARs, HIPAA, JCAHO, HITECH and Meaningful Use reporting and management
  • Performance, quality, and cost reporting
  • STARs, NCQA, HEDIS reporting and management
  • Data collection and analytics
  • Back-end and revenue cycle management
  • Copay collection and claims processing
  • Financial and operational predictive analytics
+ Process Engineering & Improvement
  • Patient throughput and discharge, workflow, and capacity management
  • Physician performance management
  • Value-based purchasing
+ Customer Experience
  • Patient/caregiver portal and mobile
  • Patient engagement processes & tools
  • Billing, scheduling, and ECM integration
+ Compliance
  • STARs, HIPAA, JCAHO, HITECH and Meaningful Use reporting and management
  • Performance, quality, and cost reporting
  • STARs, NCQA, HEDIS reporting and management
  • Data collection and analytics
+ ROI & Cash Flow Optimization
  • Back-end and revenue cycle management
  • Copay collection and claims processing
  • Financial and operational predictive analytics
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Digital Strategy & Execution

Business Goals + Scalable Technology Realized
  • Real-time or transactional systems
  • Internet of Things (IoT) architecture
  • Systems integration
  • Differentiated patient and family caregiver experiences
  • User experience and design
  • Tailored mobile apps
  • Integration of business intelligence and analytics into mobile
  • Scalable data platforms
  • IoT support
  • Customer and performance visualization
  • Proprietary architecture accelerators
  • Portal-in-a-Box
+ Digital Architecture
  • Real-time or transactional systems
  • Internet of Things (IoT) architecture
  • Systems integration
+ Digital Customer Experience
  • Differentiated patient and family caregiver experiences
  • User experience and design
  • Tailored mobile apps
+ Customer Analytics
  • Integration of business intelligence and analytics into mobile
  • Scalable data platforms
  • IoT support
  • Customer and performance visualization
+ Digital Program Execution
  • Proprietary architecture accelerators
  • Portal-in-a-Box
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BI & Analytics

Harnessing + Activating Data
  • Consumable and actionable reports
  • Metrics creation
  • Data optimization
  • Integration and optimization of source systems
  • Current system mapping
  • Improvement planning/gap analysis
  • State compliance strategies
  • Enterprise data integration
  • Advance systems for future use
  • Maximization of data relevancy and effect
  • Enhanced capabilities for patient record keeping
  • System compliance for IoT
  • Impact and investment strategies
  • Patient behavior models and strategies
  • Market analysis and planning
+ Reporting Solutions
  • Consumable and actionable reports
  • Metrics creation
  • Data optimization
+ End-to-End Data Systems
  • Integration and optimization of source systems
  • Current system mapping
  • Improvement planning/gap analysis
+ Strategy Development
  • State compliance strategies
  • Enterprise data integration
  • Advance systems for future use
+ Modernization / Mobilization
  • Maximization of data relevancy and effect
  • Enhanced capabilities for patient record keeping
  • System compliance for IoT
+ Statistical & Predictive Modeling
  • Impact and investment strategies
  • Patient behavior models and strategies
  • Market analysis and planning
icon_Office of CIO

Office of the CIO

Bridging Gaps within C-Suite
  • Managed testing
  • Mobile testing
  • Test automation
  • Test data management
  • PMO assessment
  • Portfolio rationalization
  • PMO roadmap
  • PMO launch/build
  • PMO organizational transformation
  • Agile readiness assessment
  • Agile adoption roadmap
  • Agile organizational change support
  • Agile SDM portal
  • Agile mentoring
  • Portal development
  • Custom application & architecture
  • Requirements improvement and QA practices through zero-defect application development, testing, and support
+ QA/Software Testing
  • Managed testing
  • Mobile testing
  • Test automation
  • Test data management
+ Project Management/PMO
  • PMO assessment
  • Portfolio rationalization
  • PMO roadmap
  • PMO launch/build
  • PMO organizational transformation
+ Agile Transformation
  • Agile readiness assessment
  • Agile adoption roadmap
  • Agile organizational change support
  • Agile SDM portal
  • Agile mentoring
+ Application Development
  • Portal development
  • Custom application & architecture
  • Requirements improvement and QA practices through zero-defect application development, testing, and support

Provider Trends Where We Can Make a Difference

For our provider clients, we see five priority industry pressures and trends:

Managing Compliance

Compliance management has become an all-consuming function for providers. But, the importance of performing well and achieving compliance with regulations set by JCAHO, HIPAA, HITECH, and Meaningful Use is foundational to success in all other areas.

Morphing Payment Models

The influence of quality and patient experience on reimbursement and market perception continues to grow in importance. Not only does cost transparency and performance information affect revenue, but also influences how employers, health plans and consumers partner with providers. Providers are faced with trying to decide which payment model provides the greatest upside given their current operations and performance.

New Delivery Models & Population Health

The landscape of how and where providers deliver care is evolving quickly. The imperatives and opportunities brought about by population health, mHealth technology and consumer preference are significant.  This potential for new models and markets means that providers must revisit how they do business in the back office as well as how they attract new patients and care for and manage their existing patient population.

Imperative for Redesign & Re-engineering

Organizational workflows and how human and technology resources are used require review and improvement in light of sweeping changes and new care models like telemedicine, remote care, retail care and the trend of migrating to lower cost care settings. Improving collaboration across the continuum of care while enhancing access to key data are not innovations anymore, but table stakes to success with value-based care.

Managing Mergers & Acquisitions

Key for providers either considering  or in the midst of a merger or acquisition, is optimizing and consolidating EMRs, other care and business-critical technologies, and organizational processes.

The approach to manage this type of activity must increase collaboration and cooperation across the final enterprise through appropriate governance, organizational structure, and ongoing and continuous formal communications.  You must also determine the technologies necessary to appropriately support the business strategies, culture, politics, individual diverse environments, and the priorities of the merged organizations.