Instituting and monitoring the right KPIs helps streamline IT Operations & Budget.
HEX is helping CFOs, CIOs, and CTOs across USA, EU, and APAC to evaluate, recast, and secure the Health of their IT operations.
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Categories
- Advisory Market Lens
- AI
- Benchmarking
- BOT
- COLA
- Contract HealthCheck
- Cost & Run Optimization
- Digital Workplace Services
- F&A
- Field Services
- GCC
- GenAI
- Governance
- Healthcare
- HEX Index
- HRO
- L&D Advisory
- Managed Services
- Network
- Outcome based Pricing
- Outsourcing
- Perspectives
- Pricing Models
- Procurement
- RFP
- Security
- Service Desk
- Service Levels
- Str[AI]ghtTalk
- WAN
Businesses are increasingly adopting SD-WAN to enhance their network infrastructure, streamline their operations and unlock cost savings.
Uncover the adoption triggers and sourcing models of SD-WAN to empower your business to make informed networking choices.
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Automation is not just a buzzword in revenue cycle management—it is a transformative force that is driving healthcare organizations towards a future of enhanced productivity, reduced costs, and improved financial outcomes.
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In a BOT model, service provider runs operations in initial stages with an option to transfer back to buyer later. While the operational risk lies with the provider in a BOT model, buyer should staff its employees in all the relevant management layers.
- The provider and client together implement a management oversight layer responsible for meeting deliverables and milestones for each phase.
- The intermediate management layer consists of a blend of provider and buyer employees, allowing the buyer to have easier access to the provider’s knowledge base and expertise
- Provider employees makes up the core workforce.
During and post-pandemic, Talent is among the most secular agendas across all firms pan industries. And as firms are scrambling to get the appropriate talent onboard, recruitment process operation is the backbone to execute the talent strategy. As a result, recruitment process outsourcing (RPO) industry has been seeing a sharp growth especially post H2 2021.
A combination of factors are in play that influence enterprises to outsource their recruitment processes.
As a result of the increasing complexity of the health plan environment, coordination of payments to multiple parties and a wide range of government and private health plans remains a challenge. Payment Integrity solutions are reducing the rising healthcare waste and fraud to ensure that claims are paid correctly, free of leakages. Using advanced analytics and data mining, patterns are identified across billions of lines of claims to predict errors in claims, thereby helping firms to reduce waste and focus on value-based care for patients.
We see broadly three types of engagement models in the Payment Integrity space:
- Business Process as a Service: Service provider offers Healthcare Payment Integrity to client as a service via a combination of platform (either proprietary or white labelled) and managed operations
- Platform License: Providers license the software to an enterprise who then manage the operation
- Software as a Service: Payment Integrity platform is offered on a SaaS model. The platform can be hosted on customer’s environment or on cloud. The engagement is based on an outcome-based pricing e.g., based on % of validated overpayments of recovery Per Member Per Month along with Fixed annual hosting price (if applicable)
What you control is governed by the metrics you measure and report on. But are the right metrics being measured? Traditionally, the functional and back-office metrics have been linked to the respective functional areas and the linkage to enterprise objectives, if at all, may not be evident. The Business Level Agreements (BLAs) framework can help fill this vacuum and ensure that the reported metrics are linked to the business priorities.
Some of the typical BLAs used in F&A processes:
- Accounts Payable: Error free payments, DPO, PO penetration
- Accounts Receivable: DSO, Cash Application Time, Average Time to Bill
- General Accounting: Days to close month-end, Reconciliation Cycle Time
A well thought out set of BLAs is a great mechanism for the support functions (and service providers) to see their impact on the business and the other way round. Enterprises are increasingly embedding these in the contracts to drive risk-sharing and partnership behaviours.
This is an output-based pricing model wherein the fees structure is based on the transactions / Resource Units (RUs) handled. Buyers should consider this model in the following scenarios:
- Fluctuating but predictable volumes with reasonable accuracy (availability of historical data to validate this and baseline is critical)
- Buyer landscape has lower degree of customization, and the processes are largely standardized
- Procurement has a positive experience of using pay-as-you-go models
- There are no restrictions (regulatory or compliance related) in sharing resources as the providers may deploy ‘bubble’ teams across multiple clients
- Relationship with the provider is strong and transparent and the providers have a complete visibility into the buyer’s demand funnel
SASE is an emerging technology and organisations must look at it as a journey rather than viewing it as a product. SASE converges the functions of network and security solutions into a unified, global cloud-native service. A SASE solution is meant to provide complete session protection, regardless of whether a user is on or off the corporate network.
The SASE solutions require investment in points of presence and extensive network coverage and on a maturity curve, only an absolute need to put security in the cloud should motivate to consider this as of now; the ecosystem is evolving very rapidly though.
SD-WAN allows for more agile ways of working and improves site availability through simplified and faster failover and relocation of traffic. It helps optimize costs as once implemented, it allows for better aligned demand and supply model to reduce underutilised assets and increase efficiencies as well as utilise a range of cheaper underlying connectivity.
While it offers benefits of technology-agnostic overlay and dynamic routing, without a clear strategy and transformation plan, many of the SD-WAN benefits can be limited or lost such as the ability to consolidate multiple network functions in a single platform.