The healthcare industry is changing faster than ever. COVID-19 broke down some historical barriers, but even before the pandemic the industry was transforming - driven by unsustainable costs, higher customer expectations, and more active government regulation. Technology-enabled innovations are fueling the transformation as incumbent organizations work to reinvent themselves and new entrants work to disrupt the status quo. Never before have health care organizations needed a secure, agile enterprise architecture as they do today.  
Supporting Delivery System Transformation
The ability to rapidly respond to market dynamics, exchange data among trusted partners, and leverage analytics to enable (and automate) decision-making will be critical competencies going forward. Unfortunately, many health plans are encumbered by legacy systems and antiquated technology. These systems are not agile or extensible enough to support the market transformation. They lack critical capabilities such as value-based reimbursement, flexible benefits, and native APIs for Interoperability. Many plans have built creative solutions that wrap around older Core Administration Processing Systems (CAPS) to meet some of these demands, but these solutions typically add complexity and costs.
Information to Help Maximize Your Technology Investment
Selecting and implementing a replacement CAPS is often one of the largest and most expensive projects a health plan undertakes. And while the technology challenges of such an endeavor are significant, the business transformation that needs to occur to capitalize on the investment are equally if not more formidable. 

See this article Modernizing Your Core Systems, the first of a series of White Papers that Change Healthcare Consulting has published on this subject. If you’d like to learn more, please contact David Gallegos or visit the Change Healthcare Consulting Content Hub for more information.