Our Projects
Healthcare724 offers well-designed solutions grounded in the principles of innovation, strong resource coordination, structured project management, and vendor control processes. The following is a sample of our client successes:
| Variety of Community Provider Practices including Ob-Gyn, Orthopaedics, Internal Medicine, and Oncology/Hematology | |
| Patient Experience and Marketing Strategy Improvement | · Defined the future state to optimize the patient experience along with detailed requirements for all key patient-facing systems
· Created full set of patient portal specifications in conjunction with detailed website change recommendations · Implemented typical patient portal functionality including on-line patient registration, on-line appointments, prescription refills, and patient education · Integration planning for patient portal functionality to accomplish on-line patient-responsibility balances, on-line patient account exposure, and on-line payment facilities · Integration of front-end patient touchpoint processes with other operational systems and a variety of practice EMR systems · Created on-line patient education programs, including content and articles |
| Large National Health Insurance Company | |
| Health/Pharma Analytics Account Analysis Process Improvement | · Performed end-to-end process analysis of the As-Is environment and development of the To-Be definition
· Identification of all significant organizational readiness issues and communication with senior management · Redesign of the workflow to achieve key success measures including claim submission optimization on exception processing |
| Health/Pharma Analytics Account Dashboard | · Identification, definition, and development of a metrics management approach
· Re-architected integration of claims data streams with the goals of providing the most relevant key performance indicators and minimizing load-time performance |
| Large International Health and Life Insurance Company | |
| Group Plan Benefits Reimbursement Analysis Process | · Claims process assessment with identification of opportunities for improvement
· Data re-integration analysis for areas driven by exception handling · Additional focus on exception handling and establishing criteria for success in support of market strategic imperatives and potential regulatory changes |
| Pharmacy/Health Rebate Cycle Initiative | · Operational assessment for the core processes underlying a large network manufacturer/specialty medical distribution model
· Completed an As-Is analysis with identification of OFIs (opportunities for improvement) · Provided architecture leadership for the future state definition · Led the systems analysis and provided support for the corporate development initiative through implementation |
| Large Subsidiary of a National Healthcare Payor Group | |
| Enterprise Alignment | · Provided the operational and technological framework for the corporate organization to re-organize its strategic go-to-market model
· Developed detailed models of the To-Be operational process for the full business lifecycle including payor data analysis collaboration, group benefits management, clinical operations, and drug therapy formulary management |
| Healthplan Service Offerings Development | · Facilitated the key business owners and other benefit plan stakeholders to develop the To-Be operation process
· Utilized future state scenario methodology to create the ideal workflow and operational architecture |
| National Pharmacy Mail Order Operation | |
| Healthplan-Pharmacy Provider Operational Restructuring | · Conducted complete workflow analysis from physician prescription through specialty medical distribution, and including therapy management
· Developed To-Be workflow definition to support a broad spectrum of health/pharma insurance payor plan clients · Analyzed current policies and procedures to leverage the existing content while developing the future state policies and procedures · Defined detailed and summary business requirements for future state · Evaluated marketplace vendor solutions against detailed business requirements · Created the STP model (straight-through-processing), developed the vision and scope definition, and led the organizational model adoption |
| Fortune 100 International Pharma Company | |
| Consumer Health Area | · Completed key process analysis artifacts for re-engineering the customer care process
· Developed As-Is and To-Be definition for all core functions including the healthcare sales relationship call center and the functions related to patient pay responsibility and payor reimbursement |
| Demand Analytics Process | · Completed a comprehensive As-Is analysis of the process to identify targeted recommendations for change
· Developed the CTQ (Critical to Quality) definition of characteristics · Created the To-Be process definition via facilitation with stakeholders internally, and externally in the healthcare supply chain |
| Physicians Medical Liability Company | |
| Financial Management Health and Controls Initiative | · Completed a financial process diagnostic assessment to identify areas for improvement in conjunction with the Quality initiative
· Developed a comprehensive catalogue of financial process controls from a best practice standpoint · Developed detailed recommendations for the senior management team and the account representatives working with a multitude of physician practices |