Case management is a term that’s been floating around healthcare for many years. It’s used by all kinds of different industry participants—from providers to insurers to vendors. Yet despite its tenure and wide usage, the term’s meaning varies depending on who’s using it and in what context.
The larger your organization, the more dependent you are on technology. But when this technology takes a large number of resources and specialized personnel to set up, implement, and maintain, it can present a heavy burden. This is especially true in healthcare insurance and finance, where efficiency depends on tech-heavy processes and content workflows. Enter low code development.
Enterprise content management (ECM) is a legacy industry-standard term that got its name when documents were being scanned, faxed, and digitized so they could be be routed online. Today, a broader range of electronic content—including forms from websites, video files, and social media artifacts—can be managed by an ECM platform.
For insurance companies, business process management (BPM) workflows can make or break daily operations. The “break” side of the coin typically involves time-intensive, error-prone manual processes that cause costly delays.
IBM’s Operational Decision Manager (ODM) is an industry-leading business rules management system—often referred to as a business rules engine—capable of driving significant operational efficiency by processing business logic expressed as business rules. A business rule is a specific but plain-language “if/then” statement that leads to a decision you’d want the business to make on your behalf.
The growing trend in digital business automation has inspired significant discussion and spend among organizational leaders. That’s not surprising given the greater need for efficiency and the increase in meaningful data.
Business rules prevent workplace chaos. Without them, processes would be nonexistent, outcomes would be inconsistent, and customers would be dissatisfied.
Claim processing in healthcare is a costly and complex challenge. But it is also an unfortunate reality for insurers, which is why organizational leaders never stop searching for ways to reduce the burden.
For many insurance and financial service organizations, the concept of robotic process automation (RPA) is highly appealing. This technology represents a feasible, cost-effective approach for adding flexibility and scalability into established processes and workflows.
Is your organization looking for ways to cut costs, help your team be more productive, and reduce human errors in your manual operations? If you’re like many organizations trying to compete on a global scale, the answer is yes. Today’s economic landscape is putting greater demands on workers, requiring them to be more operationally effective. Recently, robotic process automation (RPA) has been emerging as an attractive solution to these demands, one that not only improves efficiency but also frees up workers for more valuable, creative tasks that provide greater value to organizations. And with RPA tools clocking in at 65% of the cost of full-time workers, it’s an option that cannot be overlooked.