Next Generation Healthcare Technology

Today’s healthcare industry is undergoing a generational change driven by new information technology as well as increased regulatory demands and rising consumer expectations. Lime Tree helps its payer clients evaluate their current technology and operations and create roadmaps for future transformation. Our advisors bring unparalleled, hands-on experience designing, implementing, and modernizing end-to-end healthcare IT systems from quote to claim.

Today’s healthcare industry is undergoing a generational change driven by new information technology as well as increased regulatory demands and rising consumer expectations. IT and operations are shifting their focus from processing transactions and maintaining legacy infrastructure to becoming strategic business partners to drive effective member and provider experiences and to support new value-based payment models.

On the technical side, this shift includes moving to cloud-based infrastructures, implementing highly-usable web and mobile technologies, and implementing complex new Big Data and analytics platforms. On the operations side, it means rethinking the roles within healthcare claims and customer services organizations and focusing on new activities that bring long-term strategic value.

Lime Tree helps its payer clients evaluate their current technology and operations and create roadmaps for future transformation. Our advisors bring unparalleled, hands-on experience designing, implementing, and modernizing end-to-end healthcare IT systems from quote to claim. Our specific system expertise includes claims processing, enrollment and billing, quoting and sales automation, provider management and credentialing, customer service/call center, EDI/data exchange, reporting and analytics, and member/provider/broker portals and mobile apps.

Technology Strategy Services

Assessment & Planning

  • End-to-End IT & operational assessment
  • Technology maturity & risk assesments
  • Organization structure & skills assessment
  • Staffing, skills & process assessment
  • Deep-dive system architecture analysis & audits
  • Recommendations and approach for near- and long-term enhancements

Technology Strategy & Roadmapping

  • Business architecture & operational design
  • Future-state IT architecture & roadmap creation
  • Implementation planning & business case creation

Implementation

  • Vendor evaluation & procurement
  • Program design & oversight
  • Technology implementation oversight
  • Interim executive advisory services