Case Studies

How to Put Innovation to Work for You

An inside look at a program that’s already saved $475M

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Team-built automation reduces hours to seconds

Robotic desktop automation creates folders required for biweekly payroll processing

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Stages of a paper airplane against yellow

Agile workshop expedites claims processing and saves thousands

Revenue cycle team uses Agile principles to prevent unnecessary stoppages of claims processing.

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Two business colleagues greeting with elbow in office. Business people bump elbows in office for greeting during covid-19 pandemic.

Innovative technology enables rapid response to health crisis

Using automation to expedite COVID-related claims and elevate care Project Summary Client: One of...

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One young businesswoman making a presentation speech.

Advanced AI streamlines prior authorization and saves $200,000

Natural language processing and digitized clinical guidelines streamline prior authorization

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Prescription medication against bright pink background

Central verification queue frees pharmacists’ time and increases revenue

Central verification for all inpatient prescriptions improves quality of care and increases revenue

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Lightbulb glowing in dark

Real-time automation identifies high-complexity patients and transforms integrated care

Machine learning better predicts members at risk of excess forward spend, improving care and...

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Doctors talking to pharmaceutical sales representative, shaking hands.

Advanced AI optimizes risk coding and slashes excess spend

Using natural language processing to increase efficiency and activate employee engagement Project Summary Client:...

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Back view of design professionals having training class in the office.

Centralized training program saves $2.5M and optimizes learning experience

Centralization of learning and development functions improves efficiency, consistency, and learning experience.

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