High-performing health systems have succeeded in “breaking even” in Medicare, but many continue to struggle to achieve similar results in Medicaid. A concerted effort to improve revenue can strengthen a system’s financial sustainability.
Process automation at scale is now feasible for most payers. When coupled with other next-generation digital tools, we estimate that it may enable many payers to reduce operational costs by up to 30 percent within five years.
Research from over 30 countries offers insight into providing digital healthcare, including practical steps for key stakeholders.
Economic ebbs and flows are called “cycles” for a reason. The challenge for healthcare leaders is not whether the next downturn will occur—it’s whether you’re ready for it.
Omnichannel interactions are fundamentally improving the consumer experience in many industries. Payers should act now to keep up with rising consumer expectations.
Although end-to-end digital claims management is still a distant vision, much can be gained from digitizing portions of the claims process today.
Smart hospitals make extensive use of innovative technologies to improve care quality and patient experience while reducing costs.
