Microsoft Knowledge Driven Health Plans
Turning information into action
Published: April 17, 2006
Microsoft Knowledge Driven Health Plans help health plan executives transform their businesses into information-driven enterprises with the collaborative infrastructure and tools needed to focus on improving health, affordability, and consumer experience.
Knowledge Driven Health Plans are composed of innovative and interoperable software from Microsoft and solutions from our partners that are designed to work with existing IT investments—regardless of programming language or platform. It offers a new generation of software solutions that will provide the foundation for implementing profound organizational change and enabling people, teams, and partners to analyze information and make smarter business decisions. It will also provide the ability to connect, collaborate, and inform to establish processes for better and faster collaboration, information-sharing, and decision-making throughout the company and the healthcare ecosystem, with fewer resources and less complexity.
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Knowledge Driven Health Plans solutions
To deliver the greatest possible value to health plans, Microsoft Knowledge Driven Health Plans offers these advantages:
1. | A commitment to affordable breakthrough software and online services. Our mission is to deliver innovations and partner solutions that are highly cost-effective and scalable, and can be used quickly. We build software and online services that are simple, work with your existing technology, and are highly adaptive. |
2. | Extensive consumer community and experience. Microsoft products and services are ubiquitous in the home, the office, and on mobile devices. Familiar, adaptive, and easy to use, these products and services can give people within health plans a critical competitive advantage. They can improve the way people interact with physicians and consumers in existing channels while providing opportunities for creating new channels. |
3. | Best economics for business and consumers. By combining the price and maintenance cost advantages of the Microsoft Windows platform, Microsoft applications, and Microsoft online services with commodity hardware and rapid application development tools, Microsoft delivers some of the best economics in the industry, from initial technology investments to implementation, training, and ongoing support. |
Connect
“Connect” solutions from Microsoft and our partners will help enable people within health plans to become better connected across their core systems, customer-service channels, and business partners. The solutions will help manage the bottom line, seize new business opportunities, and establish strong connections that build profitable and loyal customer relationships.
Business Process and Integration
Health plan organizations face the difficult task of transforming their business from an internally focused, transactional organization into a collaborative, knowledge driven, and people-ready business that empowers employers and consumers to make informed decisions and helps providers to deliver evidence-based care. This new collaborative model enables the people within health plans to establish new and more customer-centric business processes in tune with the digital lifestyles of consumers and the business processes of individuals, teams, and providers.
“Connect” solutions for Business Process and Integration will help enable people to leverage the leadership position of Microsoft solutions in workflow, Web services, services-oriented architecture (SOA), and business-process automation.
Customer successes
Customer Experience
Today, health plan executives face a new demand on their business. They must transform the company into a consumer-focused organization that places the highest value on member health and service quality. The ultimate goal is to become a knowledgeable and trusted advocate on all health-related matters. To achieve this critical strategic position, executives must develop a people-ready business to deliver and support products and services that are focused not just on meeting but also staying ahead of the growing expectations of individual consumers and employers.
“Connect” Customer Experience solutions include technology that will enable the people in your organization to precisely deploy flexible, high-touch solutions to guide consumers through the healthcare marketplace.
Customer successes
Collaborate
“Collaborate” solutions from Microsoft and our partners help make collaboration pervasive and effortless across the enterprise, the fragmented provider community, and the entire healthcare ecosystem. With easy-to-use software that works the way people, teams, and businesses work, people in health plans can bridge collaboration gaps across the enterprise and provider community to promote relationships, optimal health habits, and coordinated and evidence-based care.
Collaboration Within and Beyond the Enterprise
People are the greatest strategic asset for any health plan. When they work together and work collaboratively with consumers and providers to turn health and transaction information into action, it leads to better care, a stronger bottom line, and a sustainable competitive advantage. However, they are often deluged with information and are constantly fighting competing demands for their attention, even as they struggle to cope with increasing pressures to be more productive.
“Collaborate” solutions for Collaboration Within and Beyond the Enterprise will help enable health plans to gain a competitive advantage through cost-effective, affordable technology that delivers pervasive collaborative capabilities that empower your people, providers, and consumers.
Customer successes:
Collaborative Care and Wellness Management
Collaborative Care and Wellness Management is an integrated approach to improving health, controlling costs, increasing productivity, and reducing absenteeism across the continuum of care. It encompasses everything from disease management to case management, utilization review, wellness programs, and behavioral health.
Customer successes:
Enterprise-wide Project Management
People are an organization’s most valuable—and often the most expensive—assets. Managing people and projects across an organization is complex. Resource information is often controlled in various departments, making it difficult to forecast short- and long-term resource needs accurately. Without a complete understanding of the skills, knowledge, and availability of its staff, an organization cannot strategically hire, deploy, and develop resources that match the needs of a project portfolio. It also makes it extremely difficult to assess the financial impact of strategic business decisions, or to know with confidence which investments are paying off and which ones are not.
“Collaborate” solutions will help to give people in health plans visibility, insight, and the control of project-based work they need to optimize business performance. Managing multiple projects as a collective portfolio ensures that health plan’s efforts are spent only on activities that contribute to the bottom line and redirect those that don’t. And because these Enterprise-wide Project Management solutions are based on standard Microsoft technologies, they are readily deployed and managed, familiar to end users, and reusable in multiple business contexts for greater agility and maximum return on investment (ROI).
Customer successes:
Inform
“Inform” solutions from Microsoft and our partners will help enable people to discover, share, and deliver actionable insights and information with less risk and on each user’s terms, empowering people and teams, customers, and partners to make knowledgeable decisions that improve personal health, patient care, and the bottom line.
Business Intelligence
Every decision influences the bottom line. Even the smallest improvement in everyday decision-making can improve profitability and consumer health. Because all health plans have similar access to customers, provider networks, and claims data, competitive advantage is increasingly built on their ability to control administrative and medical costs by empowering staff, customers, and partners to make better-informed financial and clinical decisions. To move from survival to success, health plans must be able to anticipate emerging trends and rapidly adapt strategy and business processes to focus on the right opportunities at both the operational and clinical levels.
“Inform” Business Intelligence solutions will offer health plans a flexible and easy-to-use business-intelligence platform that extends from the data center to the desktop to mobile devices.
Customer successes:
Risk Management and Compliance
Today, compliance with an ever-growing body of regulatory mandates is as central to business success as the ability to manage claims and enrollment files. Noncompliance with any regulation needlessly exposes health plans to risks of brand damage and diverts scarce resources to address violations.
“Inform” solutions for Risk Management and Compliance can help reduce regulatory compliance risk and complexity by improving information protection and helping to provide the internal controls needed to meet HIPAA requirements, Sarbanes-Oxley provisions, and state-specific regulations.
Customer successes:
