{"id":8001,"date":"2014-03-25T18:05:11","date_gmt":"2014-03-25T18:05:11","guid":{"rendered":"https:\/\/www.varshabi.com\/HCIM2\/test\/?p=8001"},"modified":"2021-04-15T15:36:36","modified_gmt":"2021-04-15T15:36:36","slug":"state-of-the-payor-industry-survey-indicates-need-for-business-process-automation","status":"publish","type":"post","link":"https:\/\/www.varshabi.com\/HCIM2\/state-of-the-payor-industry-survey-indicates-need-for-business-process-automation\/","title":{"rendered":"State of the Payor Industry Survey Indicates Need for Business Process Automation"},"content":{"rendered":"<p>More than 130 leaders from health plans across the United States responded to HealthEdge\u2019s Jan. 2014 \u201cState of the Payor\u201d industry survey. As a company that offers business process automation solutions, we were particularly interested in question #4 (below), which shows that 81.3% of surveyed payors believe it would significantly reduce their administrative costs to &#8220;automate existing business processes&#8221; and 55.5% believed it would help to &#8220;increase auto-adjudication rates.&#8221;<\/p>\n<p>HCIM&#8217;s SymKey application&nbsp;streamlines business processes by automating manual workflows and increasing auto-adjudication within your existing claims system. And with a go-live in less than three days, it&#8217;s certainly quicker to implement and&nbsp;more cost-effective than transitioning to a new core claims transaction system. For more information <a title=\"About SymKey\" href=\"https:\/\/www.varshabi.com\/HCIM2\/products\/symkey\/\">click here<\/a>.<\/p>\n<table style=\"width: 550px;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr bgcolor=\"#c0c0c0\">\n<td colspan=\"2\"><strong>4. Which of the following factors do you feel would have a significant impact on reducing administrative costs at your organization? Please check all that apply.<\/strong><\/td>\n<\/tr>\n<tr bgcolor=\"#c0c0c0\">\n<td><strong>Answer Options<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Response Percent<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Automate existing manual business processes<\/td>\n<td style=\"text-align: center;\">81.3%<\/td>\n<\/tr>\n<tr>\n<td>Increase auto-adjudication rates<\/td>\n<td style=\"text-align: center;\">55.5%<\/td>\n<\/tr>\n<tr>\n<td>Outsource\/BPO<\/td>\n<td style=\"text-align: center;\">12.5%<\/td>\n<\/tr>\n<tr>\n<td>My organization does not need to reduce administrative costs<\/td>\n<td style=\"text-align: center;\">10.9%<\/td>\n<\/tr>\n<tr>\n<td>Other<\/td>\n<td style=\"text-align: center;\">6.3%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"width: 550px;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr bgcolor=\"#c0c0c0\">\n<td colspan=\"2\"><strong>7. What percentage of your claims are currently adjudicated automatically?<\/strong><\/td>\n<\/tr>\n<tr bgcolor=\"#c0c0c0\">\n<td><strong>Answer Options<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Response Percent<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Less than 60%<\/td>\n<td style=\"text-align: center;\">26.1%<\/td>\n<\/tr>\n<tr>\n<td>Between 60% and 70%<\/td>\n<td style=\"text-align: center;\">14.3%<\/td>\n<\/tr>\n<tr>\n<td>Between 70% and 80%<\/td>\n<td style=\"text-align: center;\">21%<\/td>\n<\/tr>\n<tr>\n<td>Between 80% and 90%<\/td>\n<td style=\"text-align: center;\">25.2%<\/td>\n<\/tr>\n<tr>\n<td>Greater than 90%<\/td>\n<td style=\"text-align: center;\">13.4%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"width: 550px;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr bgcolor=\"#c0c0c0\">\n<td colspan=\"2\"><strong>8. What is the approximate cost of adjudicating a claim manually at your organization?<\/strong><\/td>\n<\/tr>\n<tr bgcolor=\"#c0c0c0\">\n<td><strong>Answer Options<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Response Percent<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Less than $6 per claim<\/td>\n<td style=\"text-align: center;\">38.7%<\/td>\n<\/tr>\n<tr>\n<td>Approximately $6 per claim<\/td>\n<td style=\"text-align: center;\">14.3%<\/td>\n<\/tr>\n<tr>\n<td>Approximately $7 per claim<\/td>\n<td style=\"text-align: center;\">13.4%<\/td>\n<\/tr>\n<tr>\n<td>Approximately $8 per claim<\/td>\n<td style=\"text-align: center;\">16.8%<\/td>\n<\/tr>\n<tr>\n<td>Approximately $9 per claim<\/td>\n<td style=\"text-align: center;\">4.2%<\/td>\n<\/tr>\n<tr>\n<td>Greater than $9 per claim<\/td>\n<td style=\"text-align: center;\">12.6%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>To request the full results or learn more information about the survey, please visit <a href=\"http:\/\/www.healthedge.com\/resources\/state-of-the-payor-industry-survey\" target=\"_blank\" rel=\"noopener\">http:\/\/www.healthedge.com\/resources\/state-of-the-payor-industry-survey<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>More than 130 leaders from health plans across the United States responded to HealthEdge\u2019s Jan. 2014 \u201cState of the Payor\u201d industry survey. As a company that offers business process automation solutions, we were particularly interested in question #4 (below), which shows that 81.3% of surveyed payors believe it would significantly reduce their administrative costs to [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,1,14],"tags":[38,33],"class_list":["post-8001","post","type-post","status-publish","format-standard","hentry","category-industry-blog","category-healthcare-information-management","category-symkey","tag-blog","tag-industry-insights"],"_links":{"self":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/8001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/comments?post=8001"}],"version-history":[{"count":2,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/8001\/revisions"}],"predecessor-version":[{"id":16794,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/posts\/8001\/revisions\/16794"}],"wp:attachment":[{"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/media?parent=8001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/categories?post=8001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM2\/wp-json\/wp\/v2\/tags?post=8001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}