Healthcare reform and the increasing pressure on profit margins are driving payers to focus on cost reduction and efficiency improvements. But that's just the beginning. Other industry developments have just as much potential to create new fissures in old practices and transform the cost, quality, practice and experience of healthcare:
- The rise of the individual consumer
- The cost elimination imperative
- The disruptive shift toward Accountable Care Organizations (ACOs); and
- Mergers, acquisitions and change management sweeping the industry.
We can help you meet these challenges successfully by planning for them today.
Panaromic helps healthcare organizations evaluate the impact of regulatory requirements and implement supporting solutions to help ensure compliance.
- Health Insurance Exchanges
- Dual eligible
- Medicare Advantage
- MITA 3.0
Integrated Health Management (Health 2.0)
Panaromic helps healthcare organizations evaluate, prepare and implement the transformational programs necessary to provide coordinated, comprehensive care for patients and consumers.
- Health Insurance Exchanges
- Care coordination /management
Health Intelligence and Analytics
The ability to access and leverage data is changing the way business decisions are made, with rich insights enabling evidence-based decision-making and proactive planning. Panaromic helps healthcare organizations integrate multiple data sources and technologies to increase productivity and drive collaboration.
- Analytics strategy
- Process innovations
Identifying and resolving intentional and unintentional errors or verifying the absence of both is critical. With significant dollars being lost to fraud and abuse each year, investigation and recovery efforts are critical to an organization's overall financial health. Panaromic can help with:
- Over/under payment recovery
- Fraud and abuse
By introducing IT-enabled processes, organizations can reduce costs while improving process efficiency and effectiveness. At the same time, these processes can drastically improve overall endurance and/or member satisfaction. Panaromic's expertise includes:
- Best-in-class series (Claims, Enrollment, Medical Management)
- Product evaluation and selection
- Operational readiness (BPS)
New consumer-focused operating models in healthcare demand a shift in thinking, often moving from a B2B focus to a B2C focus. We help healthcare organizations understand the requirements for health benefit exchanges and manage the patient and member experience with solutions that drive engagement and help build effective strategies for member identification and retention.
- Customer engagement
- Customer experience
- Customer retention
We offer complete project and IT implementation and support services, including:
- Legacy systems modernization
- Administrative, claims management, clinical and electronic health record implementations
- Custom development and maintenance
- Systems integration and program management
- ERP and CRM systems
- Data warehouses
- ehealth, self-service applications and portal development