March 17 2014

Along with the Patient Protection and Affordable Care Act (PPACA) came a tidal wave of sweeping changes in the healthcare industry. Due to an extremely complex web of providers, patients, payers and more—the healthcare industry has fallen behind other industries when it comes to managing effective business processes.

Automating the claims approval process workflow is perhaps one of the best ways health plans can control costs. That’s what “new” Business Process Management (BPM) and Service-Oriented Architecture (SOA) solutions can do—let’s take a brief look at what else they can do.

  • BPM—synchronizes processes and connects critical information systems and apps
  • SOA—integrates applications and existing infrastructure into a common workflow
  • Mobile technology—offers role-based, real-time access to providers anywhere
  • Social technology—connects members of a patient’s network, from doctors to family

Among other things, the PPACA significantly impacts requirements for the fundamental business processes that are required to provide efficient healthcare. Health Insurance Exchanges (HIX) must manage accounts payable and receivables, taxes, reporting—even customer service. Each HIX also has to integrate with existing state social service systems. BPM and SOA will get healthcare organizations in tip-top shape for the changes to come.

Read Oracle’s whitepaper, Increasing the Quality, Efficiency and Accountability of Care, to learn more about how BPM can change the face of managing healthcare in a rapidly changing landscape. Also check out our recent newsletter article, Why Healthcare Today Needs BPM and SOA, and the Healthcare Industry Solutions section of our website.

About the Author

Brandon Dean

Brandon Dean is Executive Vice President for AVIO and focuses his time on building client relationships and directing sales, marketing, and strategy initiatives for AVIO. Prior to joining AVIO in 2008, Brandon spent time in various positions at Oracle, BEA Systems, and Fuego where he built a reputation as a thought leader in BPM strategy and implementation advisory services. 

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