This is the final entry in a set of three posts – you can see the first on Reducing the cost of manual claims handling here and the second on Fast-tracking disability claims here. Each post is a real-world story that illustrates the importance of handling your claims...
This is the second in a set of three posts – you can see the first on Reducing the cost of manual claims handling here. The series is designed to use specific real-world stories to illustrate the importance of handling your claims effectively, not just efficiently....
Our CTO, Ryan Trollip, recently gave a webinar on claims automation with our partner Red Hat. Many companies spend heavily automating their claims process, but this spend is largely on handling a claim efficiently not on claims handling effectiveness. Digitizing...
With all the changes, challenges, and turbulence in the world today, the importance of good decision making has never been greater. Organizations need to find ways to navigate optimally through these times so they can survive and thrive. Cutting-edge technologies can...
by James Taylor CEO, Decision Management Solutions In a previous blog, we introduced you to the Mayflower 400 autonomous ship, the first autonomous seafaring vessel in the world, developed by ProMare in partnership with IBM and other organizations. One of the big...
By Gagan Saxena, VP Solutions and a Principal Consultant, Decision Management Solutions Decision modeling can be a “good-enough” representation of business problems, providing adequate information for automating decisions. And even if there may be a good reason...
By James Taylor, Founder and CEO, Decision Management Solutions One of the classic tools for decision automation is a business rules management system, or BRMS. While these systems are powerful and effective when used correctly, many companies fail to apply best...
The webinar has taken place. View the presentation and recording our SlideShare channel. Learn how you can automate decisions to handle more claims without manual intervention. Boost your Jet or Straight Through Claims Processing rates to new heights to reduce costs,...
The webinar has taken place, view the presentation here. Attend this free webinar to learn how you can quickly deploy next best action decisions that deliver the right marketing or customer service message to each customer, each time you interact with them. Learn from...
Working with SMEs is a critical element of any project and new approaches to process and especially decision technology make a big difference. To learn more, join me and Alexandra Caraballo of Kaiser Permanente at the Building Business Capability Conference (BBC 2017)...
The webinar has taken place. The presentation and recording are available here. Successful digital programs extend their Digital Business Platforms with 3 critical elements: decision modeling, predictive analytics and business rules management (BRMS). Coordinating...
Digital business provides new revenue and value-creating opportunities, helping organizations to: Improve customer engagement and retention with next best action marketing. Process more claims faster and more accurately. Reduce the cost and difficulty of regulatory...
Kaiser Permanente is developing Clinical Decision Support systems using a combination of Decision Modeling, DecisionsFirst Modeler and IBM's Business Rules Management System ODM. Their experience is that well-designed decision services can replace existing guideline...
At the recent Building Business Capability 2016 conference, Gagan Saxena, our VP of Consulting, and Andrew Ray of Goldman Sachs presented on building a modern business architecture – one that connects design (business at rest) to operations (business in motion). A perfect architecture would provide an organizing framework that synchronizes:
At the recent Building Business Capability 2016 conference, I presented with David Herring, who leads the Process Transformation and Decision Management Program at a large healthcare provider in Northern California, on “Pioneering Decision Services with Decision Modeling”. His organization is a large, not-for-profit health plan providing everything from inpatient, to home health, hospitals, hospice, pharmacy, and insurance. 10M+ members, 17,000 doctors and nearly 200,000 total employees.