Managing Collaboration and Financial Risk with your Partners using CrossPoint

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By Gregory Lampshire

Over the past few years, I have noticed our clients struggle with the increasing demands of collaboration. Many healthcare clients today collaborate with a wide variety of partners including:

  • Other Providers and Payers most often now exploring Patient Centered Medical Home (PCMH) and Accountable Care Organizations (ACO) models of reimbursement and delivery.
  • Managing care coordination across delivery partners as well as partners from the federal/state health care exchanges and even Health Information Exchanges (HIE).
  • Federal Government by sending Medicare and Medicaid reports.
  • Analytical partners performing advanced analytics such as consumer analytics for prospecting, risk stratification and care management.
  • Other People’s Liabilities such is Coordination of Benefits (CoB) and Subrogation.
  • Fraud, Waste and Abuse and special investigations.

The pace at which new partners are onboarded or changed is increasing as a company’s specialization needs increase. More specialization, more focused activities reaching deep into the care delivery value chain, and more complexity is leading to greater demands for collaboration.

The collaboration patterns really break out into a business process model or an analytical collaboration component. The business process model is really about using partners as an extension of their company to deliver care or handle administrative tasks. The analytical collaboration component is about exchanging information (sometimes called reports) for a wide variety of tasks.

One aspect of that collaboration is the exchange of large sets of information or “reports.” That information is often large in size (larger than a spreadsheet) and requires healthcare-grade security. The information also comes from many parts of the organization:

  • Informatics
  • Customer Service
  • Other People’s Liabilities and Special Investigation Groups
  • Administration

So the problems we see cropping up for our clients are:

  • You need to collaborate with an increasing number of partners
  • The number and amount of data and reports is increasing
  • The information is coming from all parts of the organization
  • CFOs must increasingly attest they know what is going in in their company
  • The risk of a security breach is becoming larger

This is where CrossPoint can help. CrossPoint is a Managed File Transfer and Collaboration solution that acts as a landing pad for healthcare data that provides the optics and line-of-sight into collaboration with full auditability and transparency.

Here’s what you need to do. Sign up for CrossPoint and start uploading your data files into the CrossPoint landing pad that Ajilitee manages for you. It has healthcare-grade security backed by our experience building large scale, PHI-containing analytical systems in the cloud. Your files are audited and profiled, and the profile results are stored. CrossPoint then sends it to your destination. If the file has data integrity problems, its detected by CrossPoint and you are alerted.

And the reverse is true.  A file coming from your partners is sent to the CrossPoint landing pad. Its audited, profiled, the profile results are stored. We then archive the file using vastly more cost-effective storage on the cloud. We then send the file to you or you come and get it yourself from our secure location. If the data file has data integrity problems, its detected by CrossPoint and you are alerted.

Think healthcare-care grade, enterprise-level, Audit, Quality and Control (AQC).

You can even use CrossPoint internally. Do you have a data warehouse? You typically have a landing pad for a data warehouse but it often has poor auditability, and it’s difficult to get data profiled to know what’s in the data before you use it. Use CrossPoint as your universal landing pad in your company.

That sounds like a purely IT solution, but it’s not. Business groups that want to collaborate with partners and not engage IT can use it directly. CrossPoint can be used by business analysts, with IT line of sight, to exchange files and detect differences in data between internal systems–a task that many business groups perform when a company has multiple internal systems for different lines of business to understand what’s in their data.

Most companies have some of these capabilities in pieces, and many lack the ability to put this together into a cohesive capability that makes it easier to collaborate and manage.

LaunchPointManaging Collaboration and Financial Risk with your Partners using CrossPoint

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