Case Study
The Four Pillars of Success: Establishing a Framework for Effective Core System-Implementation
Insight. Innovation. Transformation. White Paper As the transformation of healthcare continues to accelerate, the limitations of many legacy core systems are increasingly apparent when it comes to meeting the demands of today’s value-based environment. Faced with the need to support higher levels of provider-payer collaboration, stronger member engagement, and the design and execution of complex reimbursement models, a growing number of payers are seeking systems that are more flexible, scalable, and data-driven. These modern systems leverage newer technologies to achieve these demands. Technologies like microservices, FHIR APIs, and artificial intelligence are tools that can be leveraged to adapt to rapidly changing operational demands and regulatory requirements. Identifying