The Digital Transformation Journey - A Nearshore Americas Expert E-Book - 10

Three Digital Transformations

A healthcare organization's digital transformation strategy

There is a need for patients to obtain the most accurate and up-to-date price and procedure information. This is because an identical procedure can
have signiﬁcant price diﬀerentials, depending on the provider, with patients often resorting to social media or internet searches to gain visibility. But
getting this right can be a challenge, as there are a number of variables, such as procedure details, inclusions and exclusions, prescription requirements, doctor instructions, and insurance coverage and approvals.
The approach
One large healthcare organization - with the help of a clear digital transformation strategy - has moved toward a more encompassing use of technology to bring available information to a usable and actionable system. The strategy comprises agreements with payers and providers, social media
platforms, and several system aggregators. Most importantly, it prioritizes an understanding of the patient's needs.
This organization hired AAJ's "right-shore" team to help deﬁne, create, and deliver an innovative solution. This included bringing price, procedure,
and insurance data from several social media and third-party sources into the system. Patients and others were enabled to rank and review providers, with aggregated statistical data for all involved. The system was built to allow for the approval, scheduling, and payment of the procedure, with
an online/live chat mechanism, and multi-language, cross-device capabilities. Third party systems (such as Uber, Google Maps, etc.) were also leveraged to bring full/one-stop service to the user.
The results
The healthcare organization's coherent digital transformation strategy has enhanced its reputation as a trusted provider of healthcare procedures.
Patients can select the procedure and a doctor based on rankings, pricing, availability, and location, with pricing broken down for insurance and
co-pay. Insurance approvals, appointment schedules, and even directions and transportation are supported by the single system. The result is that
the organization now has the ability to bring providers, payers, and patients closer together for a true understanding and agreement of healthcare
costs, making it a more reliable source of procedure and pricing information.

The Digital Transformation Journey - A Nearshore Americas Expert E-Book

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