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business transformation

SDLC's Business Transformation

Is adapting to the continuously changing environment with scarce resourcing challenging your innovation goals? Do you have a strategic plan but are not equipped to carry it out through completion?

At SDLC Partners, we understand that organizations are comprised of mostly people driven processes. While most consulting firms focus on only systems processes, we differentiate our services by focusing on the human dimension. This can often be the missing link in business transformation delivery. With manual work, variation is an unavoidable factor. Our consultants identify ways to reduce the human equation or provide the necessary tools to provide consistency. The end result is improved cycle time, improved quality, customer satisfaction, increased productivity, and improved employee morale.

Why SDLC Business Transformation?

We engage with our clients to deliver actionable solutions and an exceptional experience. Our clients receive a rapid return on investment, typically within 1-2 years which is faster than the industry average. In some cases, our analysis determined that we were able to reduce resource requirements up to 20% in less than a year.

  • After implementation, we empower clients to sustain successful outcomes and continuously improve by equipping them with the tools to self-manage after the project is completed.
  • We provide industry-specific, rapid optimization techniques, integrated across a common framework to determine immediate impact to an organization's bottom line.

SDLC's end-to-end Business Transformation Delivery Framework was developed to provide solutions via structured, achievable goals in carefully planned stages. 

Member-Centric Care Optimization

Having issues meeting Disease Management/Case Management service levels with current staff and support systems? Are patients/members not engaging or adhering to care plans and you are uncertain why?

Studies from the American Medical Association and Society of Actuaries say that current stratification models do not factor enough variables such as socio-economic disparities, health literacy, and benefit plan design to service the individual consumer. Member-Centric Care Optimization (MCCO) is a proven framework with supporting tools that further refines populations and automatically delivers your interventions that best fit the patient/member without incurring additional administrative costs

What is MCCO?

  • Care Analyzer: Apply another level of stratification that not only looks at health risk but patient/member satisfaction, benefit plan design, intervention effectiveness, socio-economic disparities, and health literacy to determine the most appropriate intervention for each individual patient/member.
  • Care Optimizer: Using the output from Care Optimizer, service level of agreements and the capacity of your clinical staff/systems, we automatically deliver tasks to care management, Integrated Voice Response (IVR), and other fulfillment systems.
  • Care Atlas: Improve clinical first call resolution capabilities by using an interactive map to quickly analyze and direct patient/member care to community resources or settings of care that meet their standards of quality, cost, and accessibility. 

Why MCCO?

  • Increased utilization of preventative wellness programs by proactively identifying gaps-in-care and ensuring care plan compliance for chronic conditions.
  • Increased productivity and reduced clinical variation through streamlined care delivery by allocating scarce capital resources to the customers who need and want it.
  • Increased healthcare product and service market penetration by focusing the attention of care management programs on profitable customers. Learn more about MCCO.

Total Health Management

With rising health care costs and shrinking budgets, do you have the capabilities to provide the RIGHT program/incentive to the RIGHT member at the RIGHT time to maintain/increase member engagement?

As the health care industry shifts towards consumerism due to strong market forces such as health care reform, the industry continues to face shrinking margins. The situation is further intensified as health plans struggle to deal with the rising health care costs and an increased aging population with chronic conditions. SDLC Partners has leading practice processes, measures, systems, and health care expertise to respond to the rising costs. The Total Health Management (THM) approach identifies the capabilities needed to provide the optimal program/incentive to the right member at the right time.

Why SDLC's THM Approach?

  • Bend the cost of the care curve by increasing utilization of preventative wellness programs and by proactively identifying gaps-in-care and care plan compliance for chronic conditions.
  • Improve asset efficiencies, employee productivity, and reduce clinical variation through streamlined care delivery models and management of key performance and operational measures.
  • Grow revenue and increase health care product and service penetration by designing care management programs to attract and retain profitable customers.

THM further empowers a health plan to become self-reliant with a long-term, sustainable mechanism to enroll and retain the most profitable members. The carefully structured implementation plan is executed using the SDLC BT Framework. Read more about THM.

 
business transformation case studies

Maximizing Organizational Value by Improving the Real Drivers Behind Value Creation

SDLC Partners' Business Transformation Practice collaborated with a national healthcare insurer to enhance the real drivers behind value creation including, processes, resources, and standardized metrics.