Be it healthcare reform, requiring payers to use at least 80 percent of their premium revenues to pay claims, or the insurance exchanges driving competition to their doorsteps, the message to the U.S. health insurance industry is clear – either run your business efficiently, or go out of business. Now that will take some doing. Wouldn’t it?
What do you do with the plethora of those legacy systems that have been built over a period of 40 years and some of which still behave like they were stuck in 1970s? There have been some isolated efforts from some of the largest payers in the past few years to consolidate multiple platforms and migrate to agile and flexible platforms. ICD-10 migration could be the catalyst that could turn the slow trickle into an avalanche. Let’s examine the rationale behind that statement.
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