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HomeSkip Navigation Links > Industries > Healthcare > Health Plans and Payers > Information Technology
 

Placeholder imageInformation Technology

Capitalizing on the opportunities in today’s healthcare landscape requires increasing flexibility and adaptability in the IT capabilities of health plans and payers.  The Affordable Care Act, the evolution of Healthcare.gov and state exchanges, and the “consumerization” of healthcare have been instrumental in morphing the health insurance industry.  IT organizations are scrambling to catch up.

  • Insurance is becoming a personal retail user experience rather than one in which brokers and private exchanges are the predominant sales channels.  Application vendors are behind in making this transition to pre- and post-sale member services.
  • Plan and benefit regulations have established new considerations such as cross-product co-pay, out-of-pocket accumulation, and new federal reporting requirements
  • Rules and regulations have been continuously changing requiring IT organizations to frequently change direction and scramble to meet new requirements
  • New cloud and subscription-based services, such as software-as-a-service, platform-as-a-service, and flexible cloud-based storage are providing increased IT flexibility and adding options to the legacy in-house or outsourced models
  • Disaster recovery and business continuity plans have to adjust to accommodate new technologies and outsourced or delegated services
  • Bring-your-own-device (BYOD) and tablet platform user demands need to be quickly incorporated into IT operations.  Your business teams are using them already, it’s the new reality.

JCS has helped organizations address many aspects of their IT set up and evolution.  From providing interim CIO/CTO functions to helping deploy and manage IT operations, JCS can help your organization make the best selections, deploy and support these new platforms and IT Delivery models.

Some examples of how we can help your organization include:

  • Validating your IT strategy and portfolio of projects to determine if they align with your organization's business strategy.
  • Providing effective planning, including budgeting and forecasting, IT governance, KPI development and tracking, and portfolio management.
  • Assisting with application and infrastructure selections, implementations, and upgrades
  • Establishing a Program Management Office to keep track of large numbers of initiatives
  • Assisting in all areas of IT administration such as standards, policies and procedures, security, privacy and legal services, procurement, contract administration and vendor management, business continuity and disaster recovery, and IT HR.

With the passing of the Affordable Care Act and the significant changes it has introduced for the Insurance and Payer worlds, these technology capabilities need to be very agile and dynamic.  Requirements, rules, and regulations are constantly changing and evolving.  Organizations need to be able to simultaneously plan strategically while being tactically nimble.  It’s a very difficult balancing act to achieve, but JCS can help evolve your organization to cope with these challenges.

Contact us today to find out more about how our consultants can help you achieve your goals.

 


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