You are viewing all posts tagged with "operations"

industry solutions specialist, iWorks, SunGard's insurance business

6
Nov
2012

Medical Charts: Request Once, Use Many – Part 2

Contributor:

As part of my blog series on “Medical Charts: Request Once, Use Many,” I highlighted the added expense associated with health insurance plans making repeated requests for the same medical chart or related documentation. But there are other reasons why a plan should focus on “request once, use many.” By re-using information instead of requesting new documents each and every time the information is needed, health plans will find improved provider satisfaction and, in turn, improved member satisfaction, not to mention improved HEDIS (Healthcare Effectiveness Data and Information Set) and CMS Star ratings.... read more

industry solutions specialist, iWorks, SunGard's insurance business

29
Oct
2012

Medical Charts: Request Once, Use Many

Contributor:

We’re all familiar with the adage “create once, use many” -- for example, reusing information, processes or tools instead of building from scratch each and every time. The target result: reduced costs, less waste and happier constituents. The acquisition of medical charts and related documentation is no exception.... read more

principal - consulting, SunGard Global Services

16
May
2012

Financial supply chain: manage it from beginning to end

Contributor:

Corporate finance organizations are facing unparalleled pressure to improve operations. To be competitive, they’re looking to better manage the financial supply chain, integrate and standardize processes, achieve a return on technology investments, and manage risk while improving margins and reducing costs. ... read more

partner, SunGard Global Consulting Services

2
May
2012

U.S. healthcare reform: Rethinking service and process excellence is a good thing

Contributor:

The U.S. healthcare reforms mandate new consumer exchanges that can affect consumer purchasing trends. Recent reports indicate that consumers will evaluate healthcare options independently from employer-sponsored insurance (ESI) plans. These trends indicate a shift away from ESIs to exchanges providing choice, convenience and affordability. Many consumers will also evaluate ESIs against new exchanges, as most lower-income and part-time workers will engage public or private exchanges.... read more

principal - consulting, SunGard Global Services

12
Apr
2012

LEI projects need more clarity and attention to fast-track implementation

Contributor:

The Legal Entity Identifier (LEI) standards requirement contained in the Dodd-Frank Wall Street Reform Act has been largely overlooked in light of other priorities contained in the law. Yet, it is potentially a change that will require a significant amount of system and data changes for the industry. LEIs are a new concept that would provide industry regulators with additional transparency and risk management of exposure by being able to match open positions of individual legal entities across multiple market participants.... read more