Generate Insights from your Unified Healthcare Data

Summary: An assessment to guide healthcare organizations in leveraging AI for unified data insights, improving patient care, and operational efficiency.

Duration: Two weeks. This engagement is designed to provide rapid guidance and assessmen

Use case: Healthcare | Generate insights from your unified healthcare data.

Your value and outcomes:

Healthcare payors often struggle with fragmented data across disparate systems, leading to incomplete member and provider views, delayed insights into claims and utilization, and inefficient operations. This hinders personalized care delivery, proactive risk management and cost optimization, and prevents payors from having a holistic understanding of their populations.

Hitachi Solutions, leveraging Microsoft Dynamics 365, Microsoft Copilot, Microsoft Azure, and other services, unifies your healthcare with a proven approach that addresses data silos and streamlines processes. Our solution provides a comprehensive view of members and providers, enabling timely, data-driven insights for improved member and provider satisfaction, enhanced operational efficiency, and substantial cost savings.

Elevate member and provider satisfaction. Gain a unified, 360-degree view of your members and providers, enabling personalized interactions and proactive support.

Accelerate data access and analysis to boost payor operational efficiency. Streamline claims processing, member onboarding, and provider relations.

Drive actuarial and administrative cost savings. Optimize resource allocation, reduce operational costs by identifying inefficiencies in care coordination and claims management, and predict utilization trends through advanced analytics.

Accelerate data-driven decision-making for population health. Transform raw healthcare data into actionable intelligence, improving first-call resolution and enabling a strategic approach to member care and population health management.

Deliverables:

-Confirmed organizational understanding of current and emerging AI capabilities and opportunities across the Microsoft stack for both internal and external customers and constituents

-Guide to prioritization and preparation to incorporate AI into solutions responsibly and effectively

-Map to communicate and govern AI usage internally

-Key Performance Indicators (KPIs) for Responsible AI integration

-Guidance on structuring your organization's AI adoption strategy, backed by governance planning

-Clear understanding of business impact, ROI, and cost-benefit insights

Activities:

-Evaluate organizational readiness to adopt and embed Microsoft AI tools into applications and/or workflows.

-Collaborate on vision and goals for data insights.

-Assess current state and identify areas that need improvement.

-Provide guidance on the new capabilities across the Microsoft AI-enabled applications and tools suite.

-Develop a phased strategic roadmap that supports centralized data aggregation, automated workflow processes, and seamless systems integration.

-Assess the number of business units and processes, time in production, and age of deployments in your organization to reveal patterns that may point to opportunities or blockers.

The Hitachi Solutions difference:

Hitachi Solutions offers an outcome-based approach to AI, focusing on your unique business needs and leveraging AI tools to solve specific challenges. Our team of advisors works with you to build confidence in your ability to adopt AI tools safely, focused on tangible business outcomes.

With extensive experience partnering with health payors on modernization initiatives, Hitachi Solutions has a proven track record of transforming customer care operations. We design and implement AI-driven systems that provide centralization, simplification, and visibility, enhancing member/provider satisfaction, improving operational efficiency, and gaining substantial labor and cost savings.

URL: https://global.hitachi-solutions.com/industry/healthcare

Customer reference:

A large health plan's call center experienced higher-than-average handle times, diminishing customer satisfaction scores, and increasing cost per contact and employee turnover. This was due to antiquated frontline tools, disjointed processes, and a lack of system integration. Healthcare customer service representatives were forced to navigate several disparate systems to access member/provider information.

Hitachi Solutions helped the health plan implement a modern AI-driven solution with Microsoft Dynamics 365, Microsoft Copilot, and Microsoft Power Platform. This transformed the health plan’s customer care operations, reducing average call handling time by 100 seconds and increasing first-call resolution by 5%. The organization also saved 10-15 full-time equivalents (FTEs) and expects to save a total of 20-40 FTEs when the full rollout is complete.