The 7 th Annual Pega Collaborative Healthcare Summit The Future of - - PowerPoint PPT Presentation
The 7 th Annual Pega Collaborative Healthcare Summit The Future of Health is Everyones Business October 1-3, 2017 Westin Copley Place Boston Summit Welcome The Future of Health is Everyones Business Susan Taylor, VP and General
Healthcare Summit
The Future of Health is Everyone’s Business
October 1-3, 2017 Westin Copley Place Boston
The Future of Health is Everyone’s Business
Susan Taylor, VP and General Manager Healthcare and Lifesciences
Health th Conten tent t Advis visor
Revenue nue Clini inical l Solut utions ions Seriali lized d Solut utions ions Inc. Stepping Stone Partners
DELTA DENTAL
Welcome to the 2017 Collaborative Healthcare Summit
Thank you, speakers
Thank you, sponsors
AND THANK YOU TO THE PROGRAM TEAM
Our community… health is part of every conversation CRM FINANCIAL HEALTH
PERSONALIZATION
50% spend next to nothing 5% account for more than $1 TRILLION $300 billion in savings with adherence 18% of GDP - $3.2 TRILLION spent on healthcare 75% gaps in adherence $325 billion spent on prescription drugs Medicaid $545 billion Medicare $646 billion $18,764 - Annual family premiums
2016 2017 2015
To bring HEALTH to medicine
Personalized Medicine Personalized Health
Henry J. Kaiser Family Foundation
[VALUE]% [VALUE]% [VALUE]% [VALUE]% Health Care Genetics Social and Enviornmental Factors Individual Behavior
“As I tried to put my life back together,” he said, “as I tried to advocate for my son when he had his cancer, it became apparent to me that we have big holes in the health care system that we need to fill in some way and that we need to treat people as whole people. We need to make sure that they’re rehabilitated back to a life they enjoyed. And so we started building programs beyond just paying for acute care.”
Footer (Edit footer for all slides with View > Header & Footer) 1 4
27% 38%
33% 3%
46% 20%
29% 5%
37% 26%
33% 5%
47% 33%
13% 7%
Clinical (N=64) Adherence (N=41) Humanistic (N=43) Economic (N=15)
Outcomes reported in program assessment
POS (significant positive outcomes) NEG (nonsignificant outcomes MIX (POS and NEG) UNCLR (unclear)
NIH Study PSPs 2005-2015
#Trending
AI Proactive / Preemptive Smart Robots & RPA Virtual Personal Assistants Chatbots Cloud Choice Natural Language Q&A DevOps IoT Citizen Developer Agile & Lean Customer Journeys
00 Month 0000
Footer (Edit footer for all slides with View > Header & Footer) 1 8
An opportunity for AI…?
Claims Operations Customer Service AI Compliance
Traditional AI- The NEW Operations Silo
“…the best cost-to-value rating of any solution” “…the highest reference customer scores for, modeling and predicting customer behavior”
“…the best ability to build, maintain and change complex cases”
Gartner
Magic Quadrant for the CRM Customer Engagement Center, 2017
Pega’s Differentiated Unified CRM Applications
OPERATIONS MARKETING SALES AI-POWERED CUSTOMER DECISION HUB CUSTOMER SERVICE
CUSTOMER DEMANDS ONE CUSTOMER, ONE JOURNEY Shape the Future of Healthcare CLOUD CHOICE VERTICALLY RELEVANT, OOTB
How? REAL AI- The Customer Decision Hub
Next Best Actions Data About Customer
Information Insight Action
Customer Interaction History Customer Identification & Matching
YOUR BUSINESS MODEL
Propensities, Scoring & Modeling Centralize Strategies & Rules Design Actions, Offers, & Triggers Orchestrate Across Channels
The future of health- REAL AI for real health impact!
Health th Conten tent t Advis visor
Revenue nue Clini inical l Solut utions ions Seriali lized d Solut utions ions Inc. Stepping Stone Partners
DELTA DENTAL
But not everyone could make it to Boston…
Reduced Administrative cost of payments processing by 33%
POSTCARDS FROM PEGA CUSTOMERS
Automate & control end to end customer processes
POSTCARDS FROM PEGA CUSTOMERS
Improved employee/partner satisfaction
POSTCARDS FROM PEGA CUSTOMERS
Improve customer satisfaction
POSTCARDS FROM PEGA CUSTOMERS
Thank you, speakers
Healthcare Summit
The Future of Health is Everyone’s Business
October 1-3, 2017 Westin Copley Place Boston