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1
About MedSolutions:
MedSolutions is a medical cost
management company that generates cost
savings as a consequence of improving the
quality of patient care and outcomes.
More details at www.medsolutions.com
 Local and National programs
 27+ MM members managed
 55 Commercial, Medicare, &
Medicaid health plans
 1,000 employees, HQ in
Nashville TN
 7 million interactions per year
with physicians and members
2
About Me:
Satish Dave, pronounced dặv′-vee
Chief Information Officer, MedSolutions Inc
- 23 years of business and IT experience across multiple industries
- Currently leading all strategic and operational technology initiatives
for MedSolutions. Ownership for
- information technology
- claims operation
- healthcare analytics shared service
- operational excellence through Lean/Six Sigma
- In past led the information technology function of specialty paper company Appleton
Papers Inc, largest manufacturer of carbonless and thermal papers
- Prior to this held various leadership roles with Concentra Inc, Coventry Healthcare, GE,
Shop At Home Network, SETA Corporation, and CIL
- Holds Bachelor degrees of Electrical Engineering and Law
3
The world we live in…
4
5
6
Our “demand – supply” is off balance…
7
Larger horse. . . or a lighter cart!
Competing priorities…
8
It is everyday battle for all of us…
9
Who is this guy…
10
Operational Efficiency
Initiatives
Real-time Support
Requests
New Product
Development
Interoperability
needs
Speed to
Market
Build System/Infrastructure
for growth and new world
Portfolio
Management &
Governance
Two opposing forces linked together:
IT in the sense of managing technology
infrastructure is on the cusp of becoming
a critical but nonstrategic asset like
electricity.
Generic IT Strategic Value
o Commoditization
o Consolidation
o Outsourcing
o Cloud and Utility Computing
Today, the CIO is becoming increasingly
thought of as a chief innovator, chief
strategist, chief process officer, or all three.
o I for Innovation
o Disruptive technologies
o Postmodern business
Two third of CEOs believe that IT will make a greater contribution
during this decade.
11
Engage and Collaborate:
① Retaining customers with customer delight
② Enable growth through innovation
③ Cost management through better efficiency
④ Building responsive and flexible organization
⑤ Improving decision making through analytics and business
intelligence
⑥ Develop a team is technical smart but thinks like business
⑦ Balanced approach for disruptive technologies
Key business drivers -
Uncouple from past processes and beliefs. Create Measureable and
Auditable Financial Benefits for the Enterprise.
12
Engage and Collaborate:
o IT Strategy
o Innovation
o Enterprise
Architecture
o Business Engagement
o Requirements
o Corporate Strategy
o Business Process
Design
o Information
Management and
Analytics
o Development and
Maintenance
o Infrastructure
Operations
o Vendor Management
o User Support
o Corporate Strategy
o Business Process
Design
o Information
Management and
Analytics
In addition IT
function assumes a
set of central roles
that have no natural
ownership
Many central roles are
now duplicated in
Finance, Procurement,
Supply Chain, and other
functions
IT “doing” roles are
being externalized
faster than other
central “doing” roles.
IT Central
Think
Do
“Thinking” and “doing”
roles require different
skills, incentives, and
business relationship.
13
Increasing collaboration:
14
Discuss IT as a Portfolio of Value and Risk:
15
Your people will make the difference:
① Wanted: Business Skills - IT staff will need business-centric skill
sets and will often have business backgrounds.
② Proactive communication instead of follow-ups
③ Customer focus and service excellence – wow your internal and
external customer
④ Enabler for growth through innovation
⑤ Ability to drive Operation performance and Project performance
Key to success is to have IT leadership who understands and drive the
vision of new IT in their day to day business interaction.
16
Listen to the future:
17
Be strategic.
Be focused.
Be great.
18
Content Source includes various studies and presentations from PWC, Gartner, Cisco, MS, and Corporate Executive Board
Although I believe that the information contained in this document has been obtained from reliable sources, but we are not
responsible for any errors or omissions contained herein or for the results obtained from the use of this information.
19

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Presentation by Satish during MidTech Conference, Las Vegas 2012

  • 1. 1
  • 2. About MedSolutions: MedSolutions is a medical cost management company that generates cost savings as a consequence of improving the quality of patient care and outcomes. More details at www.medsolutions.com  Local and National programs  27+ MM members managed  55 Commercial, Medicare, & Medicaid health plans  1,000 employees, HQ in Nashville TN  7 million interactions per year with physicians and members 2
  • 3. About Me: Satish Dave, pronounced dặv′-vee Chief Information Officer, MedSolutions Inc - 23 years of business and IT experience across multiple industries - Currently leading all strategic and operational technology initiatives for MedSolutions. Ownership for - information technology - claims operation - healthcare analytics shared service - operational excellence through Lean/Six Sigma - In past led the information technology function of specialty paper company Appleton Papers Inc, largest manufacturer of carbonless and thermal papers - Prior to this held various leadership roles with Concentra Inc, Coventry Healthcare, GE, Shop At Home Network, SETA Corporation, and CIL - Holds Bachelor degrees of Electrical Engineering and Law 3
  • 4. The world we live in… 4
  • 5. 5
  • 6. 6
  • 7. Our “demand – supply” is off balance… 7 Larger horse. . . or a lighter cart!
  • 9. It is everyday battle for all of us… 9
  • 10. Who is this guy… 10 Operational Efficiency Initiatives Real-time Support Requests New Product Development Interoperability needs Speed to Market Build System/Infrastructure for growth and new world Portfolio Management & Governance
  • 11. Two opposing forces linked together: IT in the sense of managing technology infrastructure is on the cusp of becoming a critical but nonstrategic asset like electricity. Generic IT Strategic Value o Commoditization o Consolidation o Outsourcing o Cloud and Utility Computing Today, the CIO is becoming increasingly thought of as a chief innovator, chief strategist, chief process officer, or all three. o I for Innovation o Disruptive technologies o Postmodern business Two third of CEOs believe that IT will make a greater contribution during this decade. 11
  • 12. Engage and Collaborate: ① Retaining customers with customer delight ② Enable growth through innovation ③ Cost management through better efficiency ④ Building responsive and flexible organization ⑤ Improving decision making through analytics and business intelligence ⑥ Develop a team is technical smart but thinks like business ⑦ Balanced approach for disruptive technologies Key business drivers - Uncouple from past processes and beliefs. Create Measureable and Auditable Financial Benefits for the Enterprise. 12
  • 13. Engage and Collaborate: o IT Strategy o Innovation o Enterprise Architecture o Business Engagement o Requirements o Corporate Strategy o Business Process Design o Information Management and Analytics o Development and Maintenance o Infrastructure Operations o Vendor Management o User Support o Corporate Strategy o Business Process Design o Information Management and Analytics In addition IT function assumes a set of central roles that have no natural ownership Many central roles are now duplicated in Finance, Procurement, Supply Chain, and other functions IT “doing” roles are being externalized faster than other central “doing” roles. IT Central Think Do “Thinking” and “doing” roles require different skills, incentives, and business relationship. 13
  • 15. Discuss IT as a Portfolio of Value and Risk: 15
  • 16. Your people will make the difference: ① Wanted: Business Skills - IT staff will need business-centric skill sets and will often have business backgrounds. ② Proactive communication instead of follow-ups ③ Customer focus and service excellence – wow your internal and external customer ④ Enabler for growth through innovation ⑤ Ability to drive Operation performance and Project performance Key to success is to have IT leadership who understands and drive the vision of new IT in their day to day business interaction. 16
  • 17. Listen to the future: 17
  • 19. Content Source includes various studies and presentations from PWC, Gartner, Cisco, MS, and Corporate Executive Board Although I believe that the information contained in this document has been obtained from reliable sources, but we are not responsible for any errors or omissions contained herein or for the results obtained from the use of this information. 19

Editor's Notes

  1. American Board of Internal Medicine (ABIM) Foundation: For years, the unnecessary tests and procedures laid out by this campaign have been driving up costs and diminishing the quality of care provided to patients. In fact, according to the American College of Physicians, excessive testing costs up to $250 billion annually. A National Cancer Institute study also projects that 30,000 cancers will result from the 72 million CT scans Americans received in 2007 alone.For instance, the Journal of the American College of Radiology reported that one-third of imaging studies, like MRIs and CTs, are ordered inappropriately.
  2. Change in global market and trend expects more from IT to provide ability to transform, build more efficiency, with speed to market. All this results in off balance between supply – demand.
  3. Fast changing priorities, short term vs. strategic move, limited resources/budget require us to rethink
  4. This is new normal. While this looks like a big challenge…this is unique opportunity for IT leaders to change and build partnership with their business peers. CIOs and IT leaders need to integrate with business more then ever before and…dream with business leader, needs to be catalyst for change, be an Expert on the “art of the possible” ..., Guru of risk management.