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Smart.Member.Plan IQ

Introducing Smart.Member.Plan IQ, a groundbreaking managed service designed specifically for healthcare organizations. This service harnesses the power of Amazon Intelligent Document Processing (IDP) and related AWS products to revolutionize the way you capture, classify, extract, and enrich data from health plan information and documents. With Smart.Member.Plan IQ, you can streamline the process of verifying patient existence and eligibility, enabling you to make informed decisions quickly and efficiently.

Go-to-Solution

Smart.Member.Plan IQ is the ultimate solution for healthcare organizations seeking to optimize their data management and decision-making processes. By leveraging the cutting-edge capabilities of Amazon IDP and AWS's Well-Architected Framework, this service empowers you can reduce manual efforts, minimize errors, and achieve unparalleled accuracy in patient verification and eligibility determination.

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What we offer ?

Smart.Member.Plan IQ is a managed service that automates the capture, classification, extraction, and enrichment of health plan data and documents.

For Who ?

Smart.Member.Plan IQ is a service designed specifically for healthcare organizations, including hospitals, clinics, insurance providers, and other healthcare stakeholders.

Smart.Member.Plan IQ utilizes Amazon IDP and related AWS products to process and analyze health plan information. It leverages advanced technologies such as machine learning, natural language processing, and optical character recognition to extract relevant data and verify patient existence and eligibility

How do we Leverage AWS ?

Benefits of the Cloud Adoption Framework

By addressing each perspective of the AWS Cloud Adoption Framework, Smart.Member.Plan IQ delivers a comprehensive set of benefits to healthcare organizations, empowering them to optimize their data management processes, improve patient care, and drive operational excellence.

Business Perspective
  • Improved decision-making: Smart.Member.Plan IQ enables healthcare organizations to make data-driven decisions by providing accurate and timely information about patient existence and eligibility.

  • Enhanced operational efficiency: By automating the capture, classification, extraction, and enrichment of health plan data, the service streamlines processes and reduces manual efforts, leading to increased efficiency.

  • Cost optimization: Leveraging the serverless architecture and pay-as-you-go pricing model of AWS, healthcare organizations can minimize infrastructure costs and only pay for the resources they consume.

  • Scalability and flexibility: The service can easily scale up or down based on the organization's needs, accommodating fluctuations in data volume and processing requirements.

People Perspective
  • Improved productivity: Smart.Member.Plan IQ automates repetitive tasks, allowing healthcare professionals to focus on higher-value activities and patient care, ultimately boosting productivity.

  • Enhanced collaboration: The service facilitates seamless collaboration among healthcare teams by providing a centralized platform for accessing and sharing health plan information.

  • Skill development: Implementing Smart.Member.Plan IQ provides an opportunity for healthcare professionals to acquire new skills and knowledge in data management and cloud technologies.

Governance Perspective
  • Compliance and regulatory adherence: Smart.Member.Plan IQ ensures compliance with industry regulations and standards, such as HIPAA, by implementing robust security measures and data governance practices.

  • Auditability and transparency: The service maintains comprehensive audit trails and logs, enabling organizations to track and monitor data access, modifications, and processing activities.

  • Risk management: By leveraging the security features and best practices of AWS, Smart.Member.Plan IQ helps mitigate risks associated with data breaches, unauthorized access, and data loss.

Platform Perspective
  • Reliability and availability: Built on the AWS Well-Architected Framework, Smart.Member.Plan IQ offers a highly reliable and available platform, ensuring uninterrupted access to health plan data.

  • Performance and scalability: The service leverages the scalability and performance capabilities of AWS, enabling fast and efficient processing of large volumes of health plan information.

  • Integration and interoperability: Smart.Member.Plan IQ can easily integrate with existing healthcare systems and applications using APIs and standard protocols, promoting seamless data exchange and interoperability.

Security Perspective
  • Data protection: Smart.Member.Plan IQ implements robust security measures, including encryption, access controls, and network security, to safeguard sensitive patient information.

  • Identity and access management: The service utilizes Amazon Cognito for secure user authentication and authorization, ensuring that only authorized individuals can access the health plan data.

  • Continuous monitoring and incident response: AWS CloudWatch enables real-time monitoring and logging of the service, facilitating prompt detection and response to security incidents.

Operation Perspective
  • Automated provisioning and deployment: Smart.Member.Plan IQ leverages AWS CloudFormation and other automation tools to streamline the provisioning and deployment of the service, reducing manual efforts and minimizing errors.

  • Monitoring and logging: AWS CloudWatch provides comprehensive monitoring and logging capabilities, enabling proactive identification and resolution of operational issues.

  • Disaster recovery and business continuity: By leveraging the global infrastructure and data replication features of AWS, Smart.Member.Plan IQ ensures data durability and enables rapid recovery in the event of disasters or disruptions.

Leveraging AWS Well-Architected Framework

By leveraging these AWS products and aligning with the Well-Architected Framework, Smart.Member.Plan IQ service is built using a serverless architecture that is secure, reliable, performant, cost-effective, and sustainable. This approach ensures that the service meets the highest standards of architecture and delivers optimal value to healthcare organizations

Operational Excellence Pillar

  • AWS CloudFormation: Automate the provisioning and management of infrastructure resources, ensuring consistent and repeatable deployments.

  • AWS Lambda: Run code without provisioning or managing servers, enabling serverless computing and reducing operational overhead.

  • Amazon CloudWatch: Monitor and log the performance and health of the service, enabling proactive monitoring and troubleshooting.

  • AWS X-Ray: Analyze and debug distributed applications, providing insights into performance bottlenecks and errors.

  • Amazon Cognito: Manage user authentication and authorization for secure access to the service, protecting against unauthorized access.

  • AWS Identity and Access Management (IAM): Control access to AWS resources and enforce principle of least privilege, ensuring granular security controls.

  • AWS Key Management Service (KMS): Manage encryption keys used for data encryption at rest and in transit, protecting sensitive health plan information.

  • Amazon GuardDuty: Continuously monitor for malicious activity and unauthorized behavior, providing intelligent threat detection and protection.

Security Pillar

Reliability Pillar

  • Amazon S3: Store and retrieve health plan documents and data with high durability and availability, ensuring reliable access to information.

  • Amazon DynamoDB: Provide a highly scalable and reliable NoSQL database for storing structured data, ensuring fast and consistent performance.

  • AWS Lambda: Build fault-tolerant and event-driven applications, automatically scaling based on demand and ensuring high availability.

  • Amazon CloudFront: Deliver content with low latency and high data transfer speeds, improving the reliability and performance of the service.

  • Amazon EC2 Auto Scaling: Automatically adjust compute capacity based on demand, optimizing performance and cost-efficiency.

  • Amazon Elastic Load Balancing: Distribute incoming traffic across multiple resources, ensuring optimal performance and fault tolerance.

  • Amazon ElastiCache: Provide in-memory caching to improve application performance and reduce latency.

  • AWS Lambda: Optimize performance by executing code in response to events, eliminating the need for always-on infrastructure.

Performance Efficiency Pillar

Cost Optimization
Pillar

  • AWS Cost Explorer: Analyze and manage AWS costs, identifying cost optimization opportunities and monitoring usage patterns.

  • AWS Budgets: Set custom budgets and receive alerts when costs exceed defined thresholds, enabling proactive cost management.

  • Amazon S3 Intelligent-Tiering: Automatically optimize storage costs by moving objects between access tiers based on usage patterns.

  • AWS Lambda: Pay only for the compute time consumed, reducing costs compared to traditional server-based architectures

  • AWS Lambda: Minimize energy consumption by automatically scaling compute resources based on demand, reducing idle resources.

  • Amazon S3 Glacier: Archive infrequently accessed data to lower-cost storage, reducing energy consumption associated with storage.

  • AWS Auto Scaling: Dynamically adjust resources based on demand, optimizing resource utilization and minimizing energy waste.

  • AWS Cloud Sustainability: Leverage AWS's sustainability efforts and renewable energy initiatives to reduce the environmental impact of the service.

Sustainability Pillar

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