At some point every payer faces the need to upgrade or completely overhaul its technology. Whether your organization is beginning to consider a technology change or you have selected a vendor and are ready to implement, there are key activities that can help maximize your success. Technology change may vary from very complex efforts such as platform consolidation to focused projects such as those designed to improve auto-adjudication
David Chennisi, Vice President, System Integration, Optum Payer Consulting, and Lisa Lusby, Associate Director, Optum Payer Consulting, offer up nine proven ways to help prepare for a successful technology change:
1. Document plan performance and business case
Begin by establishing key metrics to track plan performance. This is vital to managing plan performance whether or not you are planning a technology change. Be sure to document formulae and reporting definitions for the metrics. They should be reported and monitored on an established recurring basis.
2. Clean your data
Clean data is one of the most critical factors that will drive or detract from implementation success. It is a universal truth: A new system will not clean your data; bad data will negatively impact results.
For more detailed information, please download the following whitepaper.
Nine Ways Payers Can Prepare for a Major Technology Change*