Over the past 30 years, the health care industry has radically transformed with soaring spending, electronic health care records adoption, and longer lifespans. Yet, despite the changes, legacy mainframe systems still predominate at most organizations. As providers grapple with spiraling transaction volumes, the mismatch creates cost pressures and affects patient and provider experiences.
To tackle critical, core business challenges that have an impact on nearly every part of the health care continuum—those that inflate costs, affect patient and provider experiences, and hobble sustained growth—organizations should develop sound modernization strategies for their core legacy systems. Here are three that we’ve found most effective:
A large health plan sought to modernize its 40-year-old mainframe health-claims system to handle rising transaction volumes and bring new products to market. Deloitte supported the program from conceptualization to operation with a digital-first approach to claims adjudication, providing a seamless patient and provider experience. The new system processed billions of transactions, reduced downtime, and decreased pended-claim inventory while delivering cost savings of 20%.
Health care modernization is imperative to address today’s challenges and prepare for the future. As the focus shifts from reactive disease treatment to promoting wellness, the current health care business model will necessarily evolve. Therefore, to enable agility, improve patient outcomes, and prepare for a wellness-driven future, the need to modernize legacy systems is critical. The time to modernize is now.