Healthcare enterprises including providers and payers are constantly striving to achieve three major objectives: Improve patient care experience, optimize health outcomes and reduce healthcare costs through healthcare consulting. With managing health outcomes as a central theme, healthcare organizations are striving to drive synergies in cost reduction, operational efficiency and delivery of care. However, for healthcare organizations to realize the triple aim, it is important to address the inherent challenges of modernizing technology systems that have grown in an unstructured manner over a period of time. The challenges for healthcare consulting also include the need for integration of disparate systems, process and people along with optimization of interaction/touchpoints to enable seamless communication between different stakeholders.
Simultaneously, the healthcare industry has to navigate the ever-changing regulatory framework. From ICD-10 migration and meaningful use of health information technology to Affordable Care Act (ACA) and American Healthcare Act (AHCA), there is no respite for health management systems as they continue to invest significant time and money to keep pace with regulatory mandates. This is besides several other Medicare and Medicaid reforms such as MACRA that demand healthcare organizations to do “more for less”. This new normal requires significant investments in additional capabilities while also deflating the cost curve. Consequently, an ideal new-age IT vendor, therefore, should have the acumen to understand how business processes and technology can be aligned to enable the patient-centricity efforts of payers and providers.
As a technology leader in healthcare consulting, Silicon is always at the cutting edge of the quest to continuously improve on best practices in healthcare IT consulting services. Our enterprise medical services have helped our customer to meet their Triple Aim goals while maximizing their Return on Investment.
Customer experience is critical for any business to thrive. However, healthcare is unique in that it is a vertical where the end-user is not the only entity with a say in the entire care continuum. In the current landscape, it’s not just patients but entities such as payers, providers, and pharmaceutical manufacturers that comprise the customer satisfaction matrix. The key to the enhanced experience is for such entities to seamlessly collaborate and coordinate with each other.
Healthcare organizations acknowledge that effective care coordination, leading to personalized care management, is critical for ensuring quantifiable improvement in delivery. However, effective care coordination is a challenge when healthcare intelligence gathering is impaired by isolated and siloed data across the enterprise. What’s more, actionable insights are either misleading due to lack of centralized data lakes for meaningful analysis.
While consumer experience and care delivery are key metrics for the healthcare industry, these cannot be achieved at the expense of cost control. With healthcare costs rising on a yearly basis it is necessary that cost of care is understood at the service level rather than patient level. With administrative costs increasing across both payers and providers, it is more important today to identify avenues to rein in cost increases across both the clinical and the administrative side of the business.