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IDC PlanScape:機器人流程自動化 (RPA)

IDC PlanScape: Deriving Payer Outcomes with Robotic Process Automation

出版商 IDC 商品編碼 505091
出版日期 內容資訊 英文 12 Pages
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IDC PlanScape:機器人流程自動化 (RPA) IDC PlanScape: Deriving Payer Outcomes with Robotic Process Automation
出版日期: 2017年05月15日 內容資訊: 英文 12 Pages

本報告以付款人的機器人流程自動化 (RPA)的配合措施為研究主題,提供其理由,有效利用方法等系統性資訊。

IDC PlanScape價值


機器人流程自動化 (RPA) 重要的理由

  • LOB迫不及待IT的記錄
  • 付款人有著前所未有的成本壓力
  • FTE的削減/再配置
  • 已不能實行更多筒倉流程
  • 員工的滿意度與保持
  • 舊有系統不易替換
  • 複雜的流程

所謂機器人流程自動化 (RPA)

  • 資訊的取得
  • 資訊的整合
  • 流程的自動化
  • 資料做成有益的資訊
  • 數位交易


組織活用機器人流程自動化 (RPA) 的方法



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

Executive Summary

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
    • Claims
    • Care Management
  • Transform Data into Valuable Information
  • Enable Digital Transactions

Who Are the Key Stakeholders?

  • CIO
  • 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

Essential Guidance

Related Research

  • 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?
    • Summary
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