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This is a critical time for healthcare. The right technology can help health plans push forward and deliver new, innovative solutions that satisfy their providers and members. However, legacy architecture and siloed information still remain a challenge.
Disruptions continue to challenge leaders to reimagine and reinvigorate their business models and deploy the necessary technology to support their key initiatives.
How do payers push forward in an era of rising costs, market disruption, and mounting member expectations across the care continuum?
Download your free Gartner report on the latest trends for healthcare payers: https://ap.pn/2L6YMQ4
2. Challenges
The right technology can help health
plans push forward and deliver new,
innovative solutions that satisfy their
providers and members.
However, legacy architecture and siloed
information still remain a challenge.
3. Disruptions continue to challenge leaders to:
deploy the necessary
technology to support
their key initiatives
reimagine and
reinvigorate their
business models
4. How do payers push forward in an era of...
rising costs,
market disruption,
and mounting member expectations across
the care continuum?
5. Health IT challenges
Top of mind for Healthcare
CIOs is finding new technologies
and ways of delivering better
experiences for members and
providers.
6. Challenges include:
These challenges are not new, but as digital solutions
come into play, even more challenges pop up,
and will persist for many years to come.
Increasing demands for lower costs,
better access to care, transparency,
and personalized services and experiences
Unsustainable, high cost of care
Pressure to operate more efficiently
and perform more intelligently
7. What's new?
Healthcare payers’ options for meeting these challenges
has changed.
Having the right digital transformation solution implemented
or in the near-term roadmap will differentiate savvy health-
care payer organizations from those who get left behind.
8. New approaches to care coordination
To better serve members and providers
across the digital care continuum,
healthcare organizations are increasingly
turning to an agile platform approach to
application development.
9. A platform approach
It aggregates all data from across systems and
connects health devices into one interface to
give payers the right information at the right
time.
This approach is allowing them to process
claims correctly for providers the first time,
and coordinate the most appropriate and
personalized care for members.
This saves time and money that is currently
being spent on manual processes
and potential errors.
10. The Appian platform
The Appian platform for
healthcare can break down
silos and tap into various data
sources, including blockchain,
to provide complete, actionable
views of relevant data.
11. Process automation
Appian’s leading process automation
capabilities, turbocharged by robotic
process automation (RPA),
intelligently streamlines important
steps across the care continuum,
such as prior authorization
processes, increasing external
satisfaction and internal efficiency.
12. Championing transformation in healthcare
Healthcare organizations across
the United States are embracing
the powerful platform approach
that Appian offers.
Take the example of AIM Specialty
Health (AIM), a benefits management
organization with over 50 million
members.
AIM
50 MILLION
MEMBERS
13. One unified interface
Using the Appian Platform,
AIM is consolidating eight
systems into one unified
interface that increases
data visibility into their
core operations.
14. Appian can help your
organization navigate
the digital care continuum
to better serve
members and providers.
www.appian.com/new-approaches