Core System Transformation

With technology advancement most of the healthcare applications undergo continuous changes. It is critical for a successful healthcare organization to understand the multi-dimensional nature of digital change and integrate its various layers at the core of its business architecture. Our core systems transformation beliefs are anchored around the following tenets;

• Legacy modernization by implementing COTS product for policy administration and servicing, premium billing, revenue cycle management modules
• Enabling services using API’s and state of art integration methods
• Embedding automation and intelligence into the core systems to optimize processes
• Infrastructure transformation, cloud migration and moving to an elastic architecture
• Application rationalization and running an optimized core engine thereby reducing TCO
• Process simplification and elimination of manual interventions

Healthcare applications on archaic technologies reach the end of life cycle, are harder to maintain, difficult to find resources coupled with higher license cost. LTM’s CARE (Cost, Agility, Resiliency and Experience) framework is used to rationalize and modernize applications in a phased manner.

LTM has workflow implementation experience using different applications including PEGA. One of our experience has been in customization and configuration of IBM Lombardi for a European Health & Life Insurance Company by integrating end-to-end workflow processes with the backend AS400 database. Post implementation, there was an increase of 15-20% cases handled for policy servicing, endorsements, underwriting and claims processing combined with better tracking and monitoring at different stages.

Services Offered

• Identify processes that are redundant and can be automated or eliminated
• Portfolio rationalization to identify and remediate applications that have technology obsolescence, high license/storage and human resource costs
• Determine the data that needs to be preserved and storing the same for easy save, retrieve and archive
• Recommend COTS products using fit gap analysis to perform functional assessment and feature listing at optimal license cost

Key Features

• Unique factory decommission workbench to manage and track application profiles
• Integrated governance to ensure service level, demand and risk management that enables efficient integrated operations
• Service catalogue that clearly defines owners, IT components and KPI’s that captures the day to day operational complexities.
• Knowledge transfer process to create initial decommissioning plan

Business Benefits

• Streamlined workflow process which help in reducing the Turn-Around-Time and increasing the operational efficiency
• Reduction in the Total Cost of Ownership (TCO) of applications
• Implementation of web, mobile and social media applications to enable better consumer experience and engagement
• Enable seamless integration and interoperability across the technology landscape