Accelerated 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 a continuous improvement program and/or an operational transformation initiative - and are focused acutely on operational efficiency and productivity improvement.
piMetrics360 enables concurrent efficiency monitoring for 10's, 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 minutes, hours or a day) 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 rapid diagnostics to automatically produce advanced analytics insights that instantly establish the highest priority opportunities for process efficiency improvement, while also creating process efficiency baseline measures. These results position a continuous improvement team or a business transformation team for effective efficiency improvement 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 and automated, data-driven platform for accelerating process improvement as well as operational transformation on an enterprise scale.
Automated operational process efficiency diagnostics and monitoring (Pre-Transformation and Post-Transformation)
Rapid automated process efficiency baseline measurement and recapture
Automated pre-configured process efficiency analytics - no setup required
Automated internal process efficiency benchmarking
Automated process efficiency best practice analytics
Automated process staff Productivity Loss Cost estimator
Analytics insights that accelerate continuous improvement planning & execution
piMetrics360 drives and accelerates many functions of an operational transformation and continuous improvement program with:
Continuous Improvement & Operational Transformation Programs
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. Because these tools are fully automated, they require no functional work on the part of users.
