Product Code: US42507217
This IDC study discusses the aspects of robotic process automation (RPA) initiatives for the payer community."Robotic process automation is marketed as the hot cost-reduction strategy this year, setting the table for cognitive computing, autonomics, and artificial intelligence in payer operations and analytics," states Jeff Rivkin, research director for Payer IT Strategies at IDC Health Insights. "New paradigms in optimizing legacy investments, streamlining call center desktop automation, optimizing claims adjudication, and increasing employee satisfaction are being marketed by vendors advertising these technology-enabled process changes. Attended and/or unattended robotics, which build upon business process modeling (BPM) fundamentals, will change how workflow is perceived across the enterprise. Radical automation of selected human functions and rethinking of legacy integrations are creeping in. RPA is being executed surgically by payers, preferably in a governed way."
IDC PlanScape Figure
Why Is Robotic Process Automation Important?
- LOBs Cannot Wait for IT Backlog
- Payers Have Unprecedented Cost Pressures So Manual Processes Must Have Improved Quality, Predictability, and Speed
- Advertised FTE Reduction/Redeployment Is Evident and Attractive
- Siloed Groups Can No Longer Execute Siloed Processes
- Employee Satisfaction and Retention Is Waning in a Skills Shortage Environment
- Legacy Systems Are Not Easily Replaced
- Some Processes Are Complex But Are Surrounded by Processes that Are Simple
What Is Robotic Process Automation?
- Capture Information - Automate the Acquisition of Structured and Unstructured Data
- Seamlessly Execute the Integration of Information
- Automate Processes by Replicating Actions of a User
- Transform Data into Valuable Information
- Enable Digital Transactions
Who Are the Key Stakeholders?
- Enterprise Architecture
- Data Architecture
- Business Process Management Center of Excellence
- Vendor Management
- Target LOB Executive Management
How Can My Organization Take Advantage of Robotic Process Automation?
- See Greater Than the Obvious Task, See the Transformation
- Consider RPA for Situations That Are About Capabilities, Not Direct Outcomes
- Consider RPA for Situations That Are Disruptive and Time Sensitive
- Ensure Legitimate IT Governance and Change Control
- Use the Value-Based Reimbursement Initiatives as an Excuse to Invest in Ubiquitous Workflow and RPA
- Consider RPA to Parse Claims and Encounters, and Route Them to VBR and FFS Engines Simultaneously
- Consider RPA Instead of Data Lakes and Data Warehouses in the Context of Enhancing Member360/CRM Databases with Temporal Data
- Appendix: Attended and Unattended Bots
- What Is an Attended Bot?
- What Is an Unattended Bot?
- Since Unattended Bots Are Not Invoked by the Desktop User, What Are the Most Common Invocation Methods for Unattended Bots?