Healthcare // Policy & Regulation
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11/25/2013
11:00 AM
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Obamacare Drives One Health Plan's BPM Adoption

Regulatory changes brought about by the Affordable Care Act prompted Fallon Health Plans to decide it needed a flexible framework for automating its business process management.

Health Connector, the Massachusetts health insurance exchange site.
Health Connector, the Massachusetts health insurance exchange site.

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D. Henschen
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D. Henschen,
User Rank: Author
11/25/2013 | 12:46:21 PM
BPM Is So Old It's New Again
15 years ago document imaging, document management, and workflow started sounding too old as far as technology titles were concerned, so the vendor community rebranded it all as Enterprise Content Management (ECM) and Business Process Management (BPM). Yes, some new nuances came about with the new generation. BPM, for example, benefited from SOA (remember that?) and the orchestration of services into "end-to-end business processes."

ECM and BPM kind of fell flat as terms go, so these days many BPM technology providers -- Pegasystems among them -- sell what sound more like applications or rapid application-development capabilities. I'm guessing end users might not know that BPM technology is inside those automated new apps that were just deployed. Maybe some are coming across this term for the first time and think it's something really new?

The bottom line is that BPM -- or automation or whatever you want to call it -- is excellent, proven technology, capable of speeding business processes and taking human intervention out of the picture for all but the rare exception transactions.
David F. Carr
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David F. Carr,
User Rank: Author
11/25/2013 | 12:18:08 PM
How are other health plans addressing this?
Curious to know how other health plans are addressing the need for process changes. Would be good to hear from some who already had BPM type tech in place - did that simplify things?

Are there parallels from other industries?

Research: Healthcare IT Priorities
Research: Healthcare IT Priorities
Meeting regulatory requirements barely inched out managing digital patient data as the top priority for our 363 healthcare provider IT pros.
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