SOFTWARE SYSTEMS

The reign of paperwork in hospitals is over. Today’s clinicians prefer managing inventory and keeping protected health information (PHI) in digital form.

From EHR (electronic health records) and EMR (electronic medical records) to HIS (hospital information system) and healthcare CRM, IT providers have altered the way hospitals work. With such solutions in place, caregivers can easily store, update, and share health data, devoting more time to sufferers and their needs.

The list of software able to revamp medical workflows wouldn’t be full without narrow-focused solutions tailored to specific departments. Cardiovascular information systems (CVIS), dental practice management software (DPMS), picture archiving and communication systems (PACS), radiology information systems (RIS), and more — all of these enable better data management and improve patient outcomes.

Given that software, services, and applications are increasingly virtualised, organisations are realising how advantageous this is to keep their focus on core business functions. Instead of inundating ICT departments with hardware and software maintenance matters, these business units can integrate more effectively with the rest of the organisation and deliver better value around strategic priorities.

Many assume the adoption of SaaS to be all about technology. And while there is some truth to it, the broader impact on the enterprise cannot be ignored. SaaS has the power to fundamentally change how an insurer not only develops solutions but also services customers in a more connected environment.

CURACEL SYSTEM

A state-of-the-art software platform that detects fraud and errors in customer data, while fast-tracking claims processing for both health insurers and providers.

Using an intelligent rules engine, Curacel’s Platform helps Health Insurers realize massive time and cost savings.

When claims data enters the platform, each claim passes through an extensive data validation process powered by eClaims engine, producing risk scoring metrics and pinpointing FWA in each claim. eClaims comprises simple rules like age and gender as well as extensive machine learning algorithms that consider the full treatment histories.

CURACEL AS SAAS

To remain competitive in an increasingly complex business environment, with a more demanding customer base, insurers need to ensure they can deliver innovative solutions to market rapidly and adapt those offerings as feedback is received. Curacel is one of the mechanisms to achieve this. Curacel is strictly tailored to the health and insurance sector.

Even though cost-effectiveness and ease of implementation are used as departure points to begin implementation, the benefits quickly scale as the market demands can be serviced more effectively in much shorter time frames.

The competitive landscape sees insurers looking at ways to try and future-proof their business. SaaS (software as a service) is one of the elements in this as it provides the flexibility needed to become more productive and offer tailored services in ways previously unimaginable.