About the client
The client is the largest for-profit healthcare organization in 21 states in the US and UK. With over 200 hospitals and 119 free standing surgery centers, it operates 4 data centers
At a glance
The healthcare payer appointed Atos to undertake and implement its modernization initiative for more than 50 legacy systems. Atos’ solution also included maintenance, modernization, and production support of these applications. This resulted in enhanced system scalability, stability, and readiness for future growth.
Outcomes
- $105M in annual savings in application management through automation, improved productivity and global delivery
- Up to 10% improvement in annual productivity
- 40% cost reduction in maintenance and production support
Challenges
A mammoth task: Scaling legacy healthcare systems
The healthcare payer was facing difficulties in implementing advanced healthcare analytics due to its restricted IT capabilities and legacy infrastructure. Scaling the enterprise data warehouse was difficult due to storage and computational bottlenecks.
Other challenges included legacy applications, lack of the required skillset and delayed time-to-market. The client was keen to partner with Atos to address these issues.
Solution
Modernized healthcare for a digital world
This intense and detailed modernization project included the migration of critical systems and consisted of the following activities:
- Application maintenance and production support services for 50+ home grown legacy applications including testing, development, application modernization, demand management.
- Digital modernization services such as BIDW for data architecture, modelling, ETL and data warehousing, DBA and BI reporting
- System integrations of enterprise service bus, HL7 based clinical to revenue cycle integration, data science/NLP and mobility solutions
- Enterprise-wide migrations and implementations like ER wait times and ETL tool migration
- AI-based predictive analytics for claims denials
- NLP solutions across data, clinical analytics on structured and unstructured clinical documentation
- UI Modernization by migrating the existing CICS-based legacy screens to highly scalable architecture on .NET platform
- Application modernization with a single solution/workflow for all EDI payers, which reduced maintenance overheads resulting in lower costs, scalable multi-threaded solution to handle larger volumes, quick turnaround time for changes in payer specific rules by externalizing business rules for payer-specific transaction processing and creating automated scripts
- Transformed patient accounting systems for revenue cycle from admit to remit for the customer including charge posting, proration, reimbursement calculation, claim processing, billing alerts and ensuring regulatory compliance
- Integrated clinical and operational navigation to improve caregiver experience by tracking productivity and performance of caregivers with a rewards and recognition feature
Overall, this entire project has modernized the payer's supply chain and expansion in the UK.
Results
Sustainable healthcare initiatives for generations to come
- $105M in annual savings in application management with a combination of automation, improved productivity and global delivery
- 6-10% improvement in annual productivity improvement
- 40% cost reduction in maintenance and production support