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The Healthcare industry is under immense pressure to improve clinical outcomes, while addressing constantly rising costs, increased competition, innovative disruptors, changing consumer expectations, increased regulation and reduced revenues.
Healthcare organizations must leverage advances in technology, become data driven, and embody a patient centric culture. Simultaneously, providers and health insurers must innovate and transform existing business models to compete based on value, while applying business optimization strategies and implementing predictive and preventative models of care.
Expectations are higher and business dynamics are evolving.
Patient / Physician / Member Experience
Patient / Physician / Member Experience
Patient / Physician / Member Experience
Patients, Physicians and Members have an increasing number of choices and their service experience will be a decisive factor.
The healthcare industry today is saturated with players. Whether it be healthcare insurers, hospitals, health systems, value-based care organizations, or physician practices.
Distinguishing your organization from the
Patients, Physicians and Members have an increasing number of choices and their service experience will be a decisive factor.
The healthcare industry today is saturated with players. Whether it be healthcare insurers, hospitals, health systems, value-based care organizations, or physician practices.
Distinguishing your organization from the competition has become increasingly difficult and consumers are becoming increasingly savvy.
Verigility can assess your stakeholder journeys and find the opportunities for you to distinguish your organization by creating memorable and positive experiences. Optimized journeys can create the retention you desire, drive market share, and command premium revenues.
Verigility will assess your customer facing processes and technologies and help you develop and implement transformational strategies that will drive long-term demand for your organization.
Digital Transformation
Patient / Physician / Member Experience
Patient / Physician / Member Experience
Technology is constantly changing and the speed of new technology offerings in the market can make it challenging to keep pace. Digital Transformation is about embracing and employing advanced technologies and innovative approaches to maximize benefits and meet changing business and market requirements.
With the growing adoption of advanc
Technology is constantly changing and the speed of new technology offerings in the market can make it challenging to keep pace. Digital Transformation is about embracing and employing advanced technologies and innovative approaches to maximize benefits and meet changing business and market requirements.
With the growing adoption of advanced technologies such as Artificial Intelligence, Machine Learning, Mobility, Augmented and Virtual Reality, Wearables / Sensors and Automation the healthcare industry has an opportunity to lead the industry in adoption of these transformative technologies that will improve delivery efficiency and customer retention.
Digital Transformation technologies and methodologies have the capability to revolutionize the healthcare industry.
Verigility has the expertise and experience to help your organization navigate this new era of technology, asses what technologies will benefit your organization based on your specific needs and objectives, and assist with technology selection and implementation.
Value Based Care
Patient / Physician / Member Experience
Data Analytics and Informatics
Value-based care has become a significant part of the healthcare industry.
Establishing and operating a successful value-based organization is a difficult and disruptive model. Incentives are mostly counter to those for traditional hospitals and health systems. As such, value-based care organizations can't apply the same management approa
Value-based care has become a significant part of the healthcare industry.
Establishing and operating a successful value-based organization is a difficult and disruptive model. Incentives are mostly counter to those for traditional hospitals and health systems. As such, value-based care organizations can't apply the same management approaches to Accountable Care Organizations (AC)s) and Clinically Integrated Networks (CINs) as they have in more traditional settings.
Verigility can assist provider organizations or healthcare insurers venturing into value-based care, or improving their existing value-based care arrangements.
Data Analytics and Informatics
Data Analytics and Informatics
Data Analytics and Informatics
Advances in data analytics and informatics are increasingly helping Provider and Payer organizations deepen their understanding of their patient and member populations, and how to apply their resources to best serve these populations.
Improvements in predictive analytics, big data and unstructured data processing are opening new capabiliti
Advances in data analytics and informatics are increasingly helping Provider and Payer organizations deepen their understanding of their patient and member populations, and how to apply their resources to best serve these populations.
Improvements in predictive analytics, big data and unstructured data processing are opening new capabilities for organizations to better understand, provide for and insure patients' care needs.
Moreover, progress in real-time data processing and artificial intelligence can help organizations be more responsive and impactful in how they serve their patients and members. These trends and needs will only continue with wearable devices and home health technologies contributing to the ever-increasing volume of health data which can provide quicker and more personalized insights to how patients are coping with ailments, recovering from procedures and treating their own conditions.
Verigility can help organizations navigate this increasingly complex landscape. We can help you make better use of the data you have or grow your capabilities so your team can have the most impactful, insightful and relevant data at their fingertips when they need it.
Value Chain Optimization
Data Analytics and Informatics
Value Chain Optimization
Healthcare operations are supported by critical processes that span departments and functions. Increasing value by extracting benefits and eliminating waste from key processes can be a strategic differentiator.
Optimize these value chains through the use of best practices, benchmarking, and driving key changes that create operational exc
Healthcare operations are supported by critical processes that span departments and functions. Increasing value by extracting benefits and eliminating waste from key processes can be a strategic differentiator.
Optimize these value chains through the use of best practices, benchmarking, and driving key changes that create operational excellence. Typical areas include:
- Managing Financial Resources
- Managing Supply Chain
- Managing Customer Service
Verigility approaches optimization with a holistic approach that considers best practices, benchmarking, people, process, technology, and data/analytics.
Verigility has a structured assessment methodology that looks to align processes to established maturity models. From the developed assessment, a roadmap is developed to assist the customer in implementing recommended improvements.
Information Technology
Data Analytics and Informatics
Value Chain Optimization
Today’s IT organizations are facing enormous pressures to modernize, become more responsive and customer aligned while balancing the restraints and overhead of technology debt, legacy operations and dated skillsets. IT organizations must change how they evaluate, select implement and operate new technologies such as cloud computing, arti
Today’s IT organizations are facing enormous pressures to modernize, become more responsive and customer aligned while balancing the restraints and overhead of technology debt, legacy operations and dated skillsets. IT organizations must change how they evaluate, select implement and operate new technologies such as cloud computing, artificial intelligence, platforms-, software- and integrations- as a service so that businesses can grow their performance, competitiveness, and ability to adapt to changing market conditions.
In healthcare, all of these factors must be balanced against the appropriate technical, physical and administrative controls of HIPAA and PHI considerations. Organizations need to have more flexible means to securely share, analyze and make decisions at a patient-, cohort- or full population level.
Verigility understands the opportunities and challenges facing today’s organizations. Our expertise can help you evaluate your options, plot and implement a course to take advantage of these technologies while adapting your organization to operate in new ways to be more responsive to, and agile and collaborate with your business needs.
Expertise
Melissa Ray, Sr. Partner - Healthcare and Life Sciences
Melissa is a senior Partner with Verigility and leads the Healthcare & Life Sciences practice. She brings more than 20 years of experience building agile, high-performing operations supporting medical research institutes and clinical trial initiatives. Melissa specializes in startup and fast growth companies focused on building operational infrastructure and fostering a culture of reliability and quality assurance internationally. She is an experienced leader, dedicated to continuous improvement and innovation.
Prior to Verigility, Melissa facilitated enterprise transformations at Isola Group, Ashion AIM (Advanced Individual Medicine) and TGen (Translational Genomics Research Institute). She drove strategies that supported and accelerated research and development, product development, improved efficiency, upgraded capital foundations, and delivered millions of dollars in value globally. Melissa’s strengths include:
- Transformation and Innovation Initiatives
- Strategic Planning and Development
- Organizational Change Management
- Enterprise Program Management
- New Product Development and Lifecycle Management
- Quality Assurance and Process Engineering
- Regulatory Compliance
- Cross-Functional Leadership
- Global and US Experience
Faron Thompson, Principal Consultant - Healthcare
Faron is a Principal Consultant with Verigility in the Healthcare practice. He has over 20 years of healthcare experience including most recently 10 years building and leading a large, successful Accountable Care Organization where he served as the Chief Operating Officer and Chief Information Officer. In addition to having over 10 years experience consulting with over 25 different hospitals and health systems, Faron has particular expertise in value-based care and has also worked closely with multiple health insurance companies in the value-based care journey.
Prior to Verigility, Faron’s career spans industry and consulting roles both in and out of the healthcare industry that help to make him a well-rounded consultant. He started his career consulting for Ernst & Young, LLP in the 1990’s where he practiced process improvement, strategy, and health system reengineering. Over the remainder of his career he has led many large-scale information technology strategic initiatives for healthcare, financial services, manufacturing, and consumer products companies. Faron’s core competencies include:
- Value-Based Care Services
- Strategic Planning
- Business Transformation
- Digital Transformation
- Information Technology Transformation
- System Selection and Implementation
- Patient/Physician/Member Experience
- Process Improvement/Reengineering
- Project/Program Management
- Organizational Change Management
Colm Moran, Principal Consultant - Healthcare
Colm is a Principal Consultant with Verigility. He brings more than 30 years of experience helping organizations create and implement value-generating strategies, manage and execute large transformational initiatives, launch and operationalize start-up operations. Colm is an impactful, results-oriented change leader and advisor who specializes in advising on and implementing cross-functional business initiatives with a particular emphasis on Enterprise Data, Enabling Technologies and Digital Transformations. He is committed to helping Customers succeed and achieving their objectives.
Colm has experience in many industries including Health Care (Provider & Payer), Utilities, Education, Finance, Professional Services, and Oil & Gas. In particular, Colm’s Health Care experience spans both Provider and Payer spaces. On the Provider side, Colm’s experience includes Accountable Care Organizations (ACO) Strategy and Operations, Population Health Management, Alternative Payment Models, Data and Clinical Informatics, Quality Reporting, Clinical Integrated Network Operations and Ambulatory Operations. On the Payer side, Colm’s experience includes Digital and Data Enablement of Enrollment and Eligibility, Claims Processing, Prior Authorizations, Operational and Data Integration with trading partners in the Medicare Advantage and Small Business / Consumer insurance markets. Colm’s strengths include:
- Transformation and Innovation Initiatives / Programs
- Strategic Planning and Development
- Cross-functional Operations Optimization
- Large Program and Project Management
- Data Strategy and Operations
- Business Automation & Digital Transformation
- M&A Integration
- Software Strategy / Selection & Implementation
Kim Wagie, Sr. Partner – Digital Transformation & IT
Kim is a Senior Partner with Verigility and leads the Information Technology & Digital practice. She brings more than 20 years of experience from both the business and technology perspective to build agile and high-performing teams to support business operations, while utilizing and optimizing technology solutions. Kim is an accomplished Organizational Leader and Business Partner with expertise in operations, technology, and team leadership for Insurance, Finance, Health Care and Utilities industries. She knows how to apply technology to transform and simplify business processes while delivering bottom line measurable benefits and maximize corporate potential through innovative business process changes & technology, cost containment, client-focused product development, quality control, and outstanding customer care.
Prior to Verigility, Kim was the Director of Digital Transformation with Arizona Public Service, where she held various roles with a focus on Technology Strategy, Digital Technologies, Enterprise Data Management & Governance, Product Development, Process Improvement, and Operational Efficiencies. Kim has led many technology initiatives and implementations throughout her career for large domestic and international companies. Kim’s strengths include:
- Transformation and Innovation Initiatives / Programs
- Strategic Planning and Development
- Business and Operations Optimization
- Customer Centricity
- New product development and Lifecycle Management
- Systems Modernization, Integration and Digital
- Enterprise Data Management & Governance
- Business and IT Partnership
- Acquisition and Integration
- Cross-Functional Leadership
- Global and US Experience