Agile Performance Process Reporting

Creating an Agile Performance Process for 400+ Innovation and Improvement Projects

Create an Agile Performance Process for 400+ Innovation and Improvement Projects Plus Medical Cost Containment.

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Technology Transition Tools

Technology Transition Decision Tools for Insourcing Payer Business Unit

Large health plan needs to insource a business unit and we provided repeatable tools and methods to make the best technology transition decisions.

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Ensuring Rollout Success: HIT Adopts Strategic Approach to Enterprise-wide Product Management

Healthcare IT organization needed a strategy for successful rollout of enterprise-wide product management to increase governance and revenue.

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Health Plan Commercializes Innovative Platform and Slays 100+ Backlog

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…

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illustration of the USA and some medical symbols representing the need for predictive analytics in healthcare

Using Predictive Analytics in Healthcare to Forecast 87% of Sudden Death Events

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…

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Ethnographic Interviewing & Design Thinking Saves Health Plan from Creating Unusable Claims Solution

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…

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Pharmacy Sales Accelerator Disrupts Selling Cycle

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.

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Benefits of Agile – Scrum Team Closes 100+ Tickets in Client’s Salesforce Backlog

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…

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Mobile Care Management Case Study: How health plans are changing the in-home assessment

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…

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RPA Claims Processing: Automating 5,000 Claim Audits Per Week

Leveraging RPA to handle claims processing allowed a major healthcare organization to free up auditors to work on critical business growth priorities.

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RPA Automates License Credential Verification Cutting Costs by 30%

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…

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How To Improve NPS Scores by 50 Points With Online Bill Pay Systems

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.

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CMS Audit Framework Leveraged into Strategic Business Solutions

A health plan client had become concerned about their ability to pass a possible CMS Medicare audit unscathed.

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What is Your Strategy? The FAST Goals Methodology

FAST Goals© is a tool for people to self-organize in a complex system by making the goals and critical capabilities transparent.

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Meeting State Regs for Accurate, Compliant Encounter Data

A technology solution subsidiary of one of the nation’s top 10 largest health insurers was looking for a way to improve and streamline their compliance workflow and reporting that must be submitted to…

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