One of the nation’s largest health plans and integrated delivery systems launched a platform to test early-stage, FDA-approved innovations, which became a commercialized service offered to other payers.
Our health plan client had been outsourcing their Medicaid analytics and risk stratification for a particular state. There were concerns regarding the viability of produced results in facilitating effective care management practices.
Ethnographic Interviewing & Design Thinking Saves Health Plan from Creating Unusable Claims Solutionmatt 2020-01-08T18:40:04+00:00
One of the largest health plans in the U.S. needed to address their historic pain points around complex project execution and delivery. One of those projects focused on reducing the number of member claims that are rejected due to a lack of prior authorization.
The Pharmacy sales and strategy group within a national health plan wanted to help their new and existing ASO clients make faster, better decisions when choosing the right pharmacy program for their needs.
This health care organization’s Salesforce enhancements and defects team had 100+ client tickets in its backlog. The tickets were aging and the organization didn’t have the bandwidth to research and solve them in the turnaround time their clients expected. Our SDLC Partners’ scrum team leveraged the benefits of agile to close 99 percent of all tickets in just four months.
One of the nation’s top 10 largest health insurers needed to arm their care managers with a powerful digital tool to conduct in-home assessments. The tool needed to help the care manager ask all of the right questions and support a trust-building conversation between the care manager and the member.
A major healthcare product and service organization was hindered by an onerous, manual claims audit process. SDLC Partners was able to streamline and improve the quality of their audit process, using RPA technology to automate the process and significantly cut down the claims audit processing time and free up auditors to work on other, critical business growth priorities.
A major healthcare product and service organization was manually processing 800 provider license credential cases a day and needed to streamline and cut down the time and cost of this critical compliance verification. SDLC Partners not only created a successful RPA solution that cut costs by 30 percent, but allowed process engineers to focus on additional projects to support business growth.
A nationally ranked health plan had been using the same online billing system for 20 years, which was a source of frustration and dissatisfaction for its members.
The hospitality industry’s leading provider of hotel accounting and analytics software wanted to accelerate new value and modernize functionality to deliver novel levels of value, usability, and quality.
A health plan client had become concerned about their ability to pass a possible
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