Wednesday Jun 24, 2015

Grow Large Group Business by Leveraging Modern Sales Tools

Profitable growth remains the key objective for many healthcare payers. However, new healthcare market reforms and increasing competition from plan sponsors and Group carriers are making it harder for payers to become more profitable. Many healthcare payers are now looking for ways to improve their profitability. One way is by increasing productivity through streamlining their sales, installation, enrollment, and renewal processes, particularly in the Large Group line of business.

For many healthcare payers, managing the Large Group sales process is challenging – from opportunity management and group management to configuring the right plan for the group and presenting the proposal to large employer. There are multiple systems throughout this sales process and too often teams must rely on spreadsheets and paper forms and email to keep track. In the current IT environment for many Large Group payers, there is no single sales tool that can help sales people increase their productivity.

What the large group payers need is a modern sales tool that can consolidate the multiple systems that sales reps use on the front end and provide a single rating engine on the back end to provide the best price for any plan combination. Essentially, the large group payers should make their complex product, pricing, and business rules available to Sales in real-time, so the sales rep always have the information they need to quickly and accurately configure, price and quote a deal.

Using a modern sales tool can help sales rep become more productive. The tool will put all of the product, pricing, and bundling rules in the system and make it easy for sales reps to manage the configuration complexity. The sales reps do not need to know the product dependencies, compliance issues and other factors because everything is built into the system. Without many of the manual processes, sales reps will have more time to do what they are supposed to do which is selling the product and closing more deals.

If you are a healthcare payer, you should consider leveraging modern sales tools to optimize your sales process and help your sales reps become more successful. We encourage you to watch this webcast on demand to learn more about Oracle solutions that can help you grow your Large Group business.

For more information on Oracle Insurance Insbridge Enterprise Rating and Oracle CPQ Cloud (Configure, Price, Quote), visit oracle.com/insurance.

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Tuesday Jun 23, 2015

Watch Now: The Changing World of Value Based Payments

The emergence of value-based contracting models represents an evolution in clinical and payment methodologies aimed at creating better quality outcomes, greater provider accountability, and improving cost efficiency.

As a quick introduction to the topic, we’ve created a short video that examines the background and emerging payment models.

In a recent Webcast with FierceHealthPayer, Richard Lieberman, Chief Data Scientist at Mile High Healthcare Analytics and Oracle’s Kathy McCarthy, Director of Sales Consulting, discuss the shift from fee-for-service to value-based payments. Some of the topics discussed are:

  • How the transitions to value-based payments are being accomplished
  • Where are the success stories
  • How the new models of capitation are different from capitation of old
  • Integrating accountability into value-based payment models

Richard and Kathy examine the technology needed to accomplish these payments, what types of systems/models are suited to this new paradigm and how this technology can be delivered to your organization. They also discuss where and how cloud technology can fit into your transition.

For more information on Oracle’s solutions for healthcare payers, visit oracle.com/insurance.

Don’t forget to keep up with us year-round:

Thursday Jun 04, 2015

Delivering Best of Breed Solution to Manage Policy Lifecycle

In recent years, we’ve seen increasing interest from small-to-mid-sized carriers in transforming their policy administration systems (PAS). The business case for transformation is clear as leading insurers are already showing the benefits of modern and flexible policy administration systems. PAS transformation simplifies the IT environment by reducing the number of redundant systems and processes as well as reducing overall IT costs. They can also improve market agility by creating a more flexible platform for quickly responding to customer needs and regulatory requirements.

Even though the business case is clear, one of the biggest considerations for PAS transformation is the selection of a technology partner for this transformation journey. Carriers must be aware that selecting a core system ties them to the product vendor for years to come, so picking the right vendor – one that can provide the latest features and technology that can support your specific business goals and optimal business processes – should be the main priority. Carriers should look at vendor’s functionality, advanced features, affordability, usability and architecture in detail and determine if the vendor provides the best solution for each of the policy lifecycle processes.

With the objective of helping small-to-mid-sized carriers reducing the risk and getting the best of breed solution to make them successful in their transformation journey, Oracle is partnering with Sunlight Solutions to deliver best-in-class insurance administration solution for P&C carriers. Sunlight Solutions is a new up and coming company that provides modern policy administration system for P&C market. The joint solution will deliver greater speed-to-market, business agility and lower cost while reducing the risk.

Additionally, Oracle will be exhibiting at the IASA conference in Las Vegas June 7-10th. Please stop by Oracle Booth #440 to learn more about the joint solution. Learn more about other activities at the conference by visiting oracle.com/events.

The Transition to Standard Software in the Insurance Industry

I spend a lot of time talking to a range of individuals within various financial services institutions (predominately Life & Annuity Insurance carriers in fact), directly and indirectly, about the “fun” aspects of maintaining and modernizing their business processing systems, especially when faced with the prospect of having to comply with  new and ever-evolving regulations requiring companies to

  • Maintain a regulated level of charges and demonstrate it
  • Reveal your audited processes to the outside world
  • Change how you remunerate your distribution network – for future business only, that is
  • Start providing enrolment services for your corporate clients
  • Be prepared for unannounced visits from compliance staff
  • And so forth

Actually, these tend not to present themselves individually  but seem to be a constant part of doing business. Companies’ responses to these requests from regulators are comfortably reliable and familiar as they rely on the resourcefulness of the in house team to adequately “polish up” the existing estate. In essence, companies are dependent on a group of long-term employees who are passionate about the systems they support (and may have built) for quick fixes instead of developing a strategy for modernizing.

Having been in this situation in the past, it’s not surprising to me that companies turn a blind eye to “how” things get done as long as 1) it gets done and 2) doesn’t interrupt business life as usual.

So how long have businesses left themselves in a vulnerable position by relying too heavily on in-house software maintained by these types of passionate teams?  Well I forget personally, but my sources have recently informed me that this has been perpetuated since the early nineties. This historically tried and tested development regime has a cumulative “agility strangulation” cost, as I learned from personal experience and regularly try to communicate to the aforementioned financial services institutions.

Being an Insurance industry expert helps when trying to convey this, but coming from a vendor they sometimes assume that I am biased. Imagine my joy when I came across the following from those nice people at McKinsey

I couldn’t have put it better myself, as Oracle is in an ideal position for many reasons to be an active partner in the transformation programs McKinsey so articulately and knowledgably describe as the “5 T’s”  in the “Lessons in standardization” section of the article. I recommend you read the McKinsey article as well as the most-recent Gartner Magic Quadrant report to anybody finding themselves caught up in this dilemma of how to transition to standard software.

You may also want to read a recent blog post on core system vendor selection.

If you want more information on Oracle’s comprehensive set of solutions for insurers and how they apply to individual parts of the business, visit oracle.com/insurance.

Thursday May 07, 2015

Webcast with FierceHealthPayer: The Changing World of Value Based Payments

The emergence of value-based contracting models represent an evolution in clinical and payment methodologies aimed at creating better quality outcomes, greater provider accountability, and improving cost efficiency. In this webcast we will examine the shift from fee for service to value based payments. Some of the issues being discussed are:

  • How the transitions to value based payments are being accomplished
  • Where are the success stories
  • How the new models of capitation are different from capitation of old
  • Integrating accountability into value-based payment models

We will also examine the technology needed to accomplish these payments, what types of systems/models are suited to this new paradigm and how can this technology be delivered to your organization. We will also discuss where and how cloud technology can fit into your transition.

Join us for the webcast:

  • Tuesday, May 19, 2015
  • 1:00 pm EDT / 10:00 am PDT
  • Register now
About

Oracle's flexible solutions can help insurers navigate the change necessary to meet today’s challenges and have the business agility to be prepared for the future.

For more information, visit oracle.com/insurance.

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