Choosing a Long-Term Partner for Growth and Success
Change is a constant in the healthcare market. So, when healthcare payers are evaluating new technology investments, it’s imperative that they look beyond deploying a quick fix and seek out solution providers that care about—and can accommodate— your long-term transformation goals. Solution providers that challenge the status-quo, focus on functional design, and continuously reinvest in their products ensure that their solutions go beyond addressing your immediate needs to deliver partnerships for proactive change.
An internal culture that challenges the status quo
Technology solutions are ultimately a reflection of the people that build them. Organizations that encourage an internal culture of questioning the way things work is important. Not only does this mindset foster a sense of excitement, but it also helps employees seek out answers to the question, “how can this be better?” Much of today’s healthcare technology remains focused on short-term solutions that are not designed to adapt. But an internal culture that not only tolerates, but encourages questioning, breaking, re-building, and pushing the boundaries will continuously evolve—and this will show in their products.
Focused on functional design
While several providers may be able to offer a solution that meets your needs, many are limited to niche functions and require additional solutions or workarounds to accommodate the intricacies of your unique workflow. These cobbled-together solutions and processes complicate the claims payment ecosystem, creating manual rework and IT drag, ultimately leading to disjointed activities that result in inaccuracies and waste. This approach, however, is far less effective than using a system that is thoughtfully designed to allow all processes to work together seamlessly, eliminating all errors and delays.
Companies that are focused on design consider the ever-evolving nature of your claims payment ecosystem and build products that can adapt and grow with you. Cloud-based, interoperable, extensible solutions with open APIs are designed to deliver synchronization of payment guidance. These foundational capabilities, in turn, increase automation, reduce IT lift, and enable more rapid innovation to accommodate market needs.
Reinvestment in the products they build
An organization that continuously reinvests in its solution and prioritizes the build-out of features, capabilities, and support for its clients is a sign that they can provide a successful long-term partnership. Solution providers that understand the ever-evolving demands on payers will create a road map that considers immediate client needs while also anticipating future needs, like increased AI and machine learning capabilities. Their solutions are designed to grow and remain agile as new functionalities and content are developed. Furthermore, SaaS solutions that can deliver these updates via the cloud with minimal internal IT lift enable health plans to focus on other efforts instead of maintaining their technology solutions. As demand for transparency grows, organizations that invest in interoperability will ensure payers have insight into all aspects of their claims payment processes.
Choosing the right technology partner ensures long-term success for payers while enabling easy upgrades, interoperability, and automation—all without demanding additional lift from your internal IT. When you partner with innovative providers, they will help shine a light on the path for your organization—instead of holding you back, they will guide you, continuously, towards growth, agility, and not just accommodating, but anticipating an ever-evolving market.
About the Author
Healthcare payers face many challenges when it comes to keeping provider payments accurate, keeping underlying payment rules and data up to date, and claims administration running smoothly. This white paper addresses a holistic approach to the ever-evolving complexities that payers face. Authentic transformation—a fundamental shift in an organization focusing on a human-centered solution—is rooted in the ability to apply innovative methods by understanding the need for change, scalability, and the use of creative ideas. Check out part two, to learn how your organization can apply a design-based approach to achieve authentic transformation.