How health plans can reduce technology costs through cloud based solutions session id con9949
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How Health Plans Can Reduce Technology Costs Through Cloud-Based Solutions Session ID: CON9949 PowerPoint PPT Presentation


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How Health Plans Can Reduce Technology Costs Through Cloud-Based Solutions Session ID: CON9949. Mario B. Soberal Managing Director, Dell Services Healthcare & Life Sciences. Mario B. Soberal Managing Director, Dell Services Healthcare & Life Sciences. Healthcare Applications Team

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How Health Plans Can Reduce Technology Costs Through Cloud-Based Solutions Session ID: CON9949

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How health plans can reduce technology costs through cloud based solutions session id con9949

How Health Plans Can Reduce Technology Costs Through Cloud-Based SolutionsSession ID: CON9949

Mario B. SoberalManaging Director, Dell ServicesHealthcare & Life Sciences


Mario b soberal managing director dell services healthcare life sciences

Mario B. SoberalManaging Director, Dell ServicesHealthcare & Life Sciences

  • Healthcare Applications Team

  • Defining and building the health plan in a cloud

  • Healthcare IT executive with prior positions at WellPoint, Blue Cross of California, and Coventry Healthcare

  • Instrumental leader in the transformation of Harvard Pilgrim Health Care for Dell Services


How health plans can reduce technology costs through cloud based solutions session id con9949

Dell Healthcare ServicesDell wasidentified as the #1 healthcare information technology services provider in the world according to Gartner, Inc..

Services


Dell is leading the way in healthcare and life sciences

Dell is Leading the Way in Healthcareand Life Sciences

#1 Worldwide Healthcare IT Services Vendor

Serving more than 50%of U.S. hospitals providing care to90million Americans

Serving7of top 10pharmaceutical companies

14,000employees worldwide.

300+MDs, RNs and PhDs

Managing over ~5 billion medical images across in cloud based enterprise archive

Support for over 500software, medical device and scientific instrument providers

Serving100 insurance organizations supporting 65 million policy holders

Leading IT provider for

1st, 2nd and 3rdgeneration gene sequencing

Serving over 50MEDITECH clients with cloud-based HIS and disaster recovery.

Provide OEM services to 70+ Healthcare and Life Sciences software, medical device and scientific instrument providers


Dell healthcare payer offering

Dell Healthcare Payer Offering

Applications

Business Process Outsourcing

Infrastructure

Security

  • Claims Platforms

  • CRM

  • HIX Connector

  • Member Portals

  • Payer Informatics & Data integration

  • Quality Measures

  • Operational Metrics

  • ACOs

  • Mobility and Social Media

  • Full ITO Capabilities

  • Operations

  • (Claims/Enrollment / Customer Service)

  • Claims Administration

  • Claims Processing

  • Health Insurance Exchange

  • Client/Provider/Member Contact Centers

  • System Conversion

  • Selection

  • Implementation

  • Migration

  • IT and Data Center Outsourcing

  • Infrastructure Consulting

  • Hosting Services in Cloud (Claim System, Analytics, Virtual Desktop)

  • IT Modernization

  • (Infrastructure Consolidation, IT Portfolio Rationalization, ApplicationRe-engineering, Platform Migration etc.)

  • HIPAA Security

  • HIPAA Privacy

  • Credit Card Security

  • Penetration Testing

  • Disaster Recovery

  • Commercial Insurance Exchange Support

  • ALR/MLR Compliance Strategies

  • Data Quality Assessment

  • ICD-10 Assessments

  • HIX Assessment

  • Business Process Optimization

Strategic Services Consulting


Health plan e cosystem

Health plan ecosystem

Partnering with Oracle, Dell has leveraged extensive health plan expertise in the implementation of the OHI claims adjudication engine. Included are:

Full integration to Oracle’s eBusiness suite

Claims routing through a state-of-the-art EDI solution

OHI Claims Adjudication Engine

Implementation & support

Expertise

Health plan-specific EDW, BI & analytics solutions

Broker, Client, Member & Provider portals

  • SOA components for:

  • Provider

  • Member

  • Product

  • Accumulators

HIX solutions


Enabling cost s aving in healthcare

Enabling cost saving in healthcare

Repeatable processes vs. HEROICS

Best of breed components with simple integration

Services Oriented Architecture

Migration playbook – Designed for Oracle Healthcare Insurance systems migrations

  • Environments engineering

  • Build standardized, repeatable templates of environments

  • Rapid deployment based on need

  • Pathway to production

  • Defined pathways for moving applications/process through environment

Release management/managed change


Changing the dynamics of architecture

Changing the dynamics of architecture

Big-Box to Component Architecture

Move to a Service Oriented Architecture


Enabling cost s avings cloud s olutions

Enabling cost savings: cloud solutions

Offering secure access to a highly-scalable infrastructure for our service offerings — anytime, anywhere and from any device.

Simplified deployment and management of infrastructure and workloads with Dell cloud-enabled servers, storage, networking and software.

Enables our customers to operate, monitor and manage their legacy, traditional and virtual-based applications and services within a cloud infrastructure.

Enstratius

Dell’s newly acquired multi-cloud management platform enables customers by manage both single and multi-cloud environments and integrate partner offerings into Dell’s end-to-end cloud solutions. 

Dell Cloud On Demand

Extend your data center by transitioning workloads into the Dell Cloud.

Dell Cloud Dedicated Service

Host your VMware®-virtualized environment with this private, single-tenant Dell Cloud.

Dell Boomi - Application Integration

Connect any combination of cloud, Software-as-a-Service (SaaS) or on-premise applications without appliances, software or coding.

Dell Boomi - Master Data Management (MDM)

Simplify data management, data integration and assurance of data quality — at a fraction of the cost.

Dell Cloud Business Applications (DCBA)

Access our suite of integrated business applications quickly and securely.


Enabling cost s avings cloud c omputing

Enabling cost savings: cloud computing

It's not a technology, it's a strategy...

  • Cloud computing is part of an overall strategy to accelerate growth, empower your workforce and transform your business. Dell is committed to developing solutions that match your business vision and that drive it forward with maximum flexibility and minimum risk.

It should adapt to you, not you to it...

  • Most businesses are already on the cloud journey, but each has unique needs and obstacles. Dell will work with you to match your strategy to the right cloud solutions — without disrupting your business.

It works best when it integrates seamlessly...

  • Dell's approach is not to rip and replace, but to make use of your existing investments and build from your current state.


How health plans can reduce technology costs through cloud based solutions session id con9949

  • “We’ll be able to react more nimbly to healthcare reform and bring down our costs of processing claims. We’ll be able to bring new products to market faster than the competition, because we can be more flexible.”

  • Deborah Norton, CIO, Harvard Pilgrim Health Care


How health plans can reduce technology costs through cloud based solutions session id con9949

Q&A


How health plans can reduce technology costs through cloud based solutions session id con9949

Dell offers a wide array of services in support of health plans

Full integration services of Oracle Healthcare Insurance

Cloud-based or hosted delivery model

Proven SOA & agile implementation services

The power to do more. . .Contact Dell Services:[email protected]/casestudies


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