By Topic

Toward a Healthcare Business-Process Reference Model

Sign In

Cookies must be enabled to login.After enabling cookies , please use refresh or reload or ctrl+f5 on the browser for the login options.

Formats Non-Member Member
$33 $13
Learn how you can qualify for the best price for this item!
Become an IEEE Member or Subscribe to
IEEE Xplore for exclusive pricing!
close button

puzzle piece

IEEE membership options for an individual and IEEE Xplore subscriptions for an organization offer the most affordable access to essential journal articles, conference papers, standards, eBooks, and eLearning courses.

Learn more about:

IEEE membership

IEEE Xplore subscriptions

3 Author(s)

Standardizing processes in an effort to develop a full-scale healthcare business-process reference model could enable flexible business models without requiring custom interfaces and help track transactions to improve response times and quality of care. The structure of the healthcare industry is in flux. In seeking more cost-effective solutions, enterprises are constantly experimenting with different business models and trying various combinations of roles: risk holder, care provider, plan manager, and plan administrator. Health plans are also becoming more complex. Comprehensive plans often aggregate smaller plans, each covering a different benefits category with a different business model for providing and administering care. From both a business and information systems perspective, the result is expensive and chaotic.

Published in:

IT Professional  (Volume:13 ,  Issue: 3 )