Healthcare - Cost Optimization

Cost Optimization

The costs of healthcare and medical administration are always rising. Half-measures aren’t sufficient to curb costs in today’s industry; organizations must effect a top-to-bottom change of the way they do business, implementing the latest technologies to work smarter and more efficiently. At the same time, they must also find ways to increase the value customers receive from their healthcare while reducing the costs that arise from the volume of services—a difficult balance to maintain. The best-equipped enterprises can excel on both sides.

How We Help

Prolifics has worked with many healthcare enterprises on initiatives supporting cost optimization such as...

Cost Optimization Case Study

Improve Health Claims Processes

Horizon Health Services focused on business process automation to improve key processes throughout the organization, from enrollment to claims processing.

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Prolifics' Capabilities

Visibility and Automation of Claims, Data, and Payments >> 

Claims payment tools are crucial healthcare systems that are often in desperate need of modernization...

Claims payment tools are crucial healthcare systems that are often in desperate need of modernization. Inefficient and error-prone claims processes lead to expensive and time-consuming remediation. Fully integrating all parts of the business and automating day-to-day processes creates more effective data exchange and administration, helping create a robust claims, billing, and payment structure that supports the revenue cycle.

Prolifics helps build better claims infrastructure. We transform your fundamental approach to business to embrace a digital approach, re-engineer and automate processes to make them quicker and more efficient, optimize your environment by integrating the cloud, and manage your data to maintain accuracy throughout the enterprise.

Telemedicine >> 

Even if patients can’t easily access care, forward-thinking providers can offer digital interaction...

Even if patients can’t easily access care, forward-thinking providers can offer digital interaction at customers’ convenience, even from across county or state lines. Pre-emptively managing healthcare concerns helps maintain overall patient wellness and can solve issues without a trip to the clinic hospital, cutting wait times and costs alike.

Prolifics creates industry-leading customer interaction solutions that you can apply to your business. We deliver the business reinvention necessary to bring these customer-centric tools to life, including re-engineering, automating, and transforming processes and approaches for greater digital success. Our expertise in APIs and mobile integration opens new possibilities for interaction, while optimizing the necessary infrastructure with the cloud.

Value-Based Payment Models >> 

Care volume is no longer top priority; care value has taken the forefront...

Care volume is no longer top priority; care value has taken the forefront. New regulations and emerging customer preferences demand better-quality care at transparent prices that enhances long-term wellness. Providers can attain these goals by establishing integration across the business and collaboration throughout a patient’s care journey, helping guide them toward better health at every step. Furthermore, risk mitigation strategies that are enabled by technology help enterprises make better business choices and stay within regulatory boundaries.

Prolifics applies powerful technologies to improve the value the business offers. With master data management, our experts help you keep data moving through the enterprise to make sure it reaches the right places at the right times in the right state; with process re-engineering and automation, the way you do business can be redesigned and optimized to achieve better results; with analytics, predictive modeling, and Cognitive capabilities, new efficiencies can be discovered and leveraged to promote efficiency.

Clinical Outcomes and Costs >> 

Gaining a deeper, more thorough understanding of the key metrics that surround healthcare...

Gaining a deeper, more thorough understanding of the key metrics that surround healthcare unlocks new insights that can improve the business from end to end. Enterprises that chart the quality, speed, and cost of care, the level of satisfaction that results, and the number of readmissions that transpire can use this data to improve upon those factors and deliver greater value to patients.

Prolifics helps enterprises better understand their business with analytics, predictive modeling, and next-generation Cognitive capabilities. Once insights are in hand, we help put them into action: master data can be enhanced with better management, processes can be re-engineered and automated, and business rules can be optimized.

Descriptive, Predictive, and Cognitive Business Optimization >> 

The medical field produces an astounding amount of data: patient records, metrics, studies, diagnostics, and much more...

The medical field produces an astounding amount of data: patient records, metrics, studies, diagnostics, and much more. Sifting through this enormous body of data is a challenge that, if solved, could stand to revolutionize the way care is delivered. By applying predictive analytics that find patterns in structured data and Cognitive analytics that search and understand unstructured data to produce insights, enterprises can explore data of all types for intelligence that leads to better diagnoses and treatments. These analytic insights can then be applied to the descriptive parts of the business—adjustments to rules, processes, and content that govern care delivery so that they can act on emerging information.

Prolifics excels in all the disciplines involved in descriptive, predictive, and Cognitive business optimization. We reconfigure business rules to streamline day-to-day activities, manage data as it moves through the enterprise to help ensure it remains reliable and intact, and apply the latest predictive and Cognitive analytics to solve your business’s most pressing problems.

Revenue Stream Optimization >>

The most successful healthcare organizations are exploring ways to expand their revenue streams...

The most successful healthcare organizations are exploring ways to expand their revenue streams, such as establishing retail storefronts to offer care-facilitating products to patients while remaining under the brand’s umbrella. By unlocking new facets of the business, organizations can tap into undiscovered revenue and gain a foothold in unexplored markets.

Prolifics’ experts have a proven track record of guiding organizations in their expansion efforts. Such a major step often requires a drastic change to the way enterprises do business on a fundamental level, and Prolifics offers digital transformation, process optimization and automation, and cloud adoption expertise that helps put you on the right track for success. We can also apply APIs, mobile integration, and Cognitive-powered customer interaction tools to help you offer the best possible experience for customers across all channels.

Technology Makes it Possible

Prolifics' expertise across multiple specialties enables us to create unique, comprehensive solutions for your innovative cost optimization. Technologies we typically leverage for these types of initiatives include: