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Avalon: Providing
cloud-based lab reviews
at lightning speed
Overview
Accenture built a first-of-its-kind
platform on the public cloud for
Avalon Healthcare Solutions,
helping payers reduce
un...
Client profile
Copyright © 2016 Accenture All rights reserved.
Avalon Healthcare
Solutions
•  Laboratory benefit management
Company found...
6
Project
objectives
Avalon sought to accelerate service
delivery using a cloud solution
Chose Accenture for:
Copyright © 2016 Accenture All ri...
Copyright © 2016 Accenture All rights reserved. 1. The Health Insurance Portability and Accountability Act (HIPAA) took ef...
9
Opportunity
Copyright © 2016 Accenture All rights reserved. 2. G2 Intelligence 2010; Francisco Partners analysis.
In the U.S.,
8+ bill...
Solution
Copyright © 2016 Accenture All rights reserved.
AABG supported in
the architecture and
build of a 100-
percent cloud-based...
Copyright © 2016 Accenture All rights reserved. 2. G2 Intelligence 2010; Francisco Partners analysis.
AWS’s elasticity
sup...
Results
Copyright © 2016 Accenture All rights reserved.
Claims Editor as a Service (CEaaS)
cloud-based solution hosted on AWS
Edit...
Copyright © 2016 Accenture All rights reserved.
Flexible: scales as demand
grows for Avalon’s services
Future proof: Easy ...
Analytics
capabilities
Copyright © 2016 Accenture All rights reserved.
Claims Editor as a
Service (CEaaS)
has built-in advanced
analytics
Avalon ...
Copyright © 2016 Accenture All rights reserved.
Thank you!
Related content:
Accenture AWS Business Group
Accenture Healthc...
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Accenture Cloud-based Lab Reviews Case Study

Accenture has built the first-of-its-kind healthcare cloud-based platform. Here is some of the key findings from the Avalon case study on helping payers reduce unnecessary lab spend
while maintaining quality care.

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Accenture Cloud-based Lab Reviews Case Study

  1. 1. Avalon: Providing cloud-based lab reviews at lightning speed
  2. 2. Overview
  3. 3. Accenture built a first-of-its-kind platform on the public cloud for Avalon Healthcare Solutions, helping payers reduce unnecessary lab spend while maintaining quality care. Copyright © 2016 Accenture All rights reserved.
  4. 4. Client profile
  5. 5. Copyright © 2016 Accenture All rights reserved. Avalon Healthcare Solutions •  Laboratory benefit management Company founded in 2013 •  Headquartered in Tampa, Florida •  Helps health payers manage the cost and effective use of diagnostic lab tests •  Assesses lab charges within end-to- end claims review process
  6. 6. 6 Project objectives
  7. 7. Avalon sought to accelerate service delivery using a cloud solution Chose Accenture for: Copyright © 2016 Accenture All rights reserved. Deep knowledge of the healthcare industry Technology skills Cloud-based solutions Partnership with Amazon Web Services (AWS) through Accenture AWS Business Group (AABG)
  8. 8. Copyright © 2016 Accenture All rights reserved. 1. The Health Insurance Portability and Accountability Act (HIPAA) took effect in 2003. AWS cloud has history of secure operations, essential for complying with health privacy guidelines.1
  9. 9. 9 Opportunity
  10. 10. Copyright © 2016 Accenture All rights reserved. 2. G2 Intelligence 2010; Francisco Partners analysis. In the U.S., 8+ billion lab tests performed annually 30+ percent overused or unnecessary2 Initially, Accenture helped Avalon weigh go-to-market options Avalon chose cloud-based platform vs. high cost of building infrastructure in-house
  11. 11. Solution
  12. 12. Copyright © 2016 Accenture All rights reserved. AABG supported in the architecture and build of a 100- percent cloud-based Claims Editor as a Service (CEaaS) Accenture clinicians assisted in the development of 130+ laboratory policies Business rules/ algorithms were developed for real-time claim processing New portals were built for Avalon’s customers to access data, claims and prior authorization
  13. 13. Copyright © 2016 Accenture All rights reserved. 2. G2 Intelligence 2010; Francisco Partners analysis. AWS’s elasticity supports rapid onboarding of health plans and claims volume
  14. 14. Results
  15. 15. Copyright © 2016 Accenture All rights reserved. Claims Editor as a Service (CEaaS) cloud-based solution hosted on AWS Edits up to 150,000 claims per hour 99 percent uptime and 99.5 percent accuracy Response time per claim averages less than a second: 856 milliseconds
  16. 16. Copyright © 2016 Accenture All rights reserved. Flexible: scales as demand grows for Avalon’s services Future proof: Easy to update based on changing insurer policies, research findings, regulations
  17. 17. Analytics capabilities
  18. 18. Copyright © 2016 Accenture All rights reserved. Claims Editor as a Service (CEaaS) has built-in advanced analytics Avalon can mine data for statistical analysis based on findings from clinical research Important as new lab tests and treatments emerge Analytic Insights help Avalon’s customers save by minimizing unnecessary lab tests
  19. 19. Copyright © 2016 Accenture All rights reserved. Thank you! Related content: Accenture AWS Business Group Accenture Healthcare Accenture Operations

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