Market forces are spurring health plans to offer new innovative products, improve the health of their members, improve quality of care and customer experience, and control rising medical costs. To improve healthcare and trim medical costs, people and teams must collaborate and streamline business processes across organizational boundaries. However, most people-driven processes within health plans today are manually intense and paper-based, making these processes ripe for automation.
Microsoft Office SharePoint Server 2007 (MOSS 2007) is an integrated suite of server capabilities that enables health plans to automate and manage processes, content, insights, and collaboration within and beyond the enterprise. The solution can accelerate the transformation of a health plan into a collaborative, information-driven enterprise focused on improving the health and experience of the consumer while holding medical costs down. Additionally, this collaboration and content management server provides information technology (IT) professionals and developers with the platform and tools they need for server administration, building composite applications, and interoperability.
To improve health and medical costs, people and teams must collaborate and streamline business processes and workflow on the go, with other departments, and across organizational boundaries with brokers, employers, and providers.
Most people-driven processes within health plans today, however, are manually-intense and paper-based, making processes such as these ripe for automation: sales proposal and request for proposal (RFP), policy and procedure life cycle, document management, care management, health assessments, referrals and authorizations, coordination of benefits, provider contracting, overpayment discovery and recovery, plan installation, and pay for performance and employer reporting.
With Office SharePoint 2007, you can streamline shared business processes through out-of-the-box workflows, easy-to-use electronic forms, and a simple, consistent user experience through familiar client applications. Realize more value from information assets and simplify Health Insurance Portability and Accountability Act (HIPAA) and Sarbanes-Oxley compliance by providing comprehensive control over the entire life cycle of electronic content, including contracts, documents, Web pages, Portable Document Format (PDF) files, and e-mail messages.
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Connect people-driven and care processes to line of business applications. Office SharePoint Server 2007 allows you to bridge the gaps between disparate applications and real-world business processes, connecting people and data to virtually any back-end application with enterprise features such as the Business Data Catalog (BDC), Forms Server, and Excel Services. For example, most claims processing systems don't fully support claims post-payment audit, discovery, and recovery processes. By leveraging the enterprise capabilities of Office SharePoint Server 2007 you can close these gaps while minimizing total cost of ownership.
Browse claims details, even after post-payment audits.
Extend business processes across and beyond the organization. The extensibility of Office SharePoint Server 2007 allows you to leverage the efforts, innovation, and impact of employees, teams, brokers, providers, and partners. Also conferred is the power to drive down operational and medical costs by proactively managing the collaborative business and care processes with consumers, providers, brokers, and employers. For example, MOSS 2007 makes it easier and less time-consuming for sales teams to collaboratively prepare a benefit plan proposal and deliver the proposal to agents and brokers, regardless of their location.
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Centrally store, manage, and access documents across the enterprise. Office SharePoint Server 2007 enables you to eliminate or improve inefficient manual information management by storing and organizing all business documents and content, such as policies, procedures, and credentialing, in one central location. Users have a consistent navigation mechanism that allows them to search for and find relevant information. Default repository settings can be modified to add workflow, define retention policies, audit access, and add new templates and content types as your business changes without requiring the involvement of additional IT resources.
Improve your proposal and RFP process to reduce turnaround times and increase your win rate.
Turn information into action by delivering actionable insights and guidance within the context of the way people and teams work internally and externally across the healthcare ecosystem.
Make better-informed decisions at all levels of the company by efficiently finding, assembling, and analyzing critical business information from disparate sources such as documents, servers, line-of-business applications, databases, file shares, people, and Office SharePoint Server 2007 sites.
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Share actionable business and clinical insights broadly while helping to protect sensitive information. You will make better-informed decisions at all levels of your healthcare organization by efficiently finding, assembling, and analyzing critical business information from disparate sources such as documents, servers, line-of-business applications, databases, file shares, people, and Office SharePoint Server 2007 sites. With Excel Services you can leverage the power of Microsoft Office Excel analysis capabilities against enterprise data, while benefiting from improved manageability of data, security, and the ability to reuse models through a scalable, server-based calculation service and interactive Web-based user interface. Interactive spreadsheets can be incorporated into business intelligence (BI) portals, dashboards, and scorecards such as revenue cycle management, sales process optimization, product performance, and so on. Data access can be secured at the server to help protect confidential information while maintaining the most up-to-date version of the information.
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Provide centralized access to business-critical information. Gain and share insight by getting the right information to the right people at the right time by creating live, interactive BI portals. By using the integrated BI capabilities of Office SharePoint Server 2007, such as dashboards, key performance indicators (KPIs) such as provider performance and critical claims processing metrics, and business data connectivity technologies, you can display critical business information from disparate sources in one comprehensive view.
View business information to help make informed decisions.
Find information and connect with subject matter experts, regardless of where they are located. Share knowledge and simplify working with others within and across organizational boundaries.
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Share more information within and beyond the organization with less risk. By using the extensible policy management capabilities in Office SharePoint Server 2007, you can seamlessly collaborate and share more information with external constituents with less risk. Enhance protection against unauthorized access, usage, destruction, or loss of information by leveraging Information Rights Management, further reducing the complexities and risks related to privacy and security compliance. This gives you the confidence that information-use policies travel with the content no matter where it goes.
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Enhance customer and partner relationships. With smart, standards-based, electronic forms–driven solutions, you can collect business information from customers and partners through a Web browser, facilitating tighter connectivity with customers, partners, suppliers, and more. Integration with authentication sources in addition to Active Directory simplifies set up, improves security, and facilitates connecting to your partners, providers, and members.
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Make it easier to search for information and people: SharePoint Enterprise Search incorporates people and profiles, and business data along with documents, Office SharePoint Server sites, and Web pages to provide more relevant and useful results. The Search Center provides a single integrated location for users to search for the resources they need. Alerts on search results notify users when new query matches are discovered. The results are filtered by the security model ensuring an efficient end-user experience. Content from outside the enterprise can easily be included to help significantly improve productivity.
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Personalize and customize the user experience with roles-based site templates: With SharePoint My Sites you can provide users with dedicated sites to store, present, view, and manage content, information, and applications in a controlled fashion. With My Sites, you can present information about the user, including skills, colleagues or managers, groups and distribution lists, or active documents. Stringent privacy controls and enhanced security mechanisms enable each user to choose how much information to present, and to whom. Roles-based templates for SharePoint My Sites make use of "out of the box" Web parts in MOSS 2007, with no code, and provide a "starting-point" for quick deployment of cost-effective and easy to use portals and dashboards that integrate with existing IT investments.
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Work when and where you want. With offline access to Office SharePoint Server lists and document libraries, you can free yourself from the limitations of corporate network connectivity. Tight integration with Microsoft Office Groove 2007 further enhances the offline experience for users.
