Health Care
Expertise in healthcare accelerates project delivery
Powerful technology for a health care network
The Challenge
- Managing a changing business model: Shifting to a patient-centric healthcare system
- Coping with regulatory pressures for cost containment and alignment of incentives
- Handling digitized data from multiple sources, leading to a data explosion
- Implementing reforms to provide greater emphasis on wellness management and preventive care
What SMALLBOARD Provides
At SMALLBOARD, we have the experience, expertise and capabilities to help you innovate and transform your healthcare enterprise. Our full services offering comprise IT services, business process outsourcing, consulting and infrastructure services. Some of our focus areas include the following:
- ICD-10 / HIPAA 5010
- Legacy system modernization
- Remote health monitoring
- mHealth initiatives
- Payer CRM initiatives
- Electronic health records and exchanges
- Health information exchanges
- Healthcare infrastructure management and hosting
- Healthcare analytics and business intelligence
- Digital strategy
Client Successes
We work with healthcare insurers and other payers to facilitate a seamless migration of their services to a future state driven by wellness, cost predictability and value to all stakeholders.
Learn how our solutions have provided significant value to our customers.
Solution:
Re-platform, transition, migration and retiring of legacy systems and to newer agile process-driven systems
Results:
- A 34% increase in auto-adjudication rates
- Significant cost reductions
Solution:
Enhance customer experience and analytics-driven wellness
Results:
- Seamless customer experience across multiple touch-points like mobile applications and devices, internet, IVR and voice
- A 40% decrease in repeat prescriptions
- Significant refill error reduction by managing members and customers as a single entity across multiple lines of business
Solution:
Moving to an agile Pharmacy Business Management (PBM) system and integrating with other systems
Results:
- A 15% reduction in overall costs
- Reduction in year-on-year operational costs
Solution:
A single platform service and solution to manage enrollment and eligibility across multiple lines of businesses
Results:
- An 80% reduction in enrollment errors
- Complete annual enrollment within stipulated timelines
Solution:
Proactive solutions that enable fraud detection early in the claims adjudication lifecycle
Results:
- Identification of 15% of the fraud cases early in the cycle
Solution:
Co-developed a comprehensive Revenue Management system
Results:
- Over 80% decrease in claims errors
- Significant improvement in Accounts Receivables (AR)
