Operational Performance Competitive Advantage
Health Insurance Operational Efficiency
piMetrics360 offers a powerful and innovative AI-ready platform that unlocks unique capabilities and a competitive advantage for Health Insurance organizations that have invested heavily in continuous improvement programs and operational transformation offices - and are focused on operational efficiency and productivity improvement.
piMetrics360 facilitates concurrent monitoring of 100's and 1,000's of processes, accelerates reduction of process completion times, and drives operational process efficiency improvement - in support of revenue generating processes as well as operations and customer experience (CX) processes.
IMMEDIATE VALUE DELIVERY
piMetrics360 can be setup, configured, and connected to capture and automatically diagnose (within hours or a few days) the efficiency of operational processes for each of the following priority functional areas: Underwriting, Member Enrollment, Patient Billing, as well as Claims Processing, Prior Authorization, Network Management, and others.
piMetrics360 uses the outcome of these diagnostics to automatically produce advanced analytics insights that establish the highest priority opportunities for process efficiency improvement, while also creating process efficiency baseline measures. These results will position a transformation or continuous improvement office team for effective planning and execution, as well as rapid improvement verification.
Underwriting
Member Enrollment
Claims Processing
Prior Authorization
Network Management
Regulatory Compliance Filing
Billing
piMetrics360 serves as a proactive platform for value creation and value capture on an enterprise scale.
Automated active operational process efficiency diagnostics and monitoring (Pre-Transformation and Post-Transformation)
Rapid automated process efficiency baseline measurement and recapture (Pre-Transformation and Post-Transformation)
Automated pre-configured process efficiency analytics - no setup required
Automated internal process efficiency benchmarking
Automated process efficiency best practice analytics
Automated process Productivity Loss Cost estimator
Analytics insights that drive continuous improvement planning
Value Delivery Focus Areas
piMetrics360 drives and accelerates many functions of an operational transformation and continuous improvement program office with:
piMetrics360 comes equipped with a collection of innovative, automated, data-driven features (analytical tools) that support powerful use cases for each of the above value delivery focus areas. These tools are fully automated and require no functional work on the part of users.
