In Rick Dana Barlow’s article,
ROI for full EDI? Hmmm… he makes a very tepid case at best for the adoption of EDI in the health care industry. All of us in the business of data integration understand that EDI isn’t for everyone, and doesn’t solve all problems. But, EDI adoption for Health Care: it's a natural, enthusiastic YES! Supply chain behemoths in the commercial world became aggressive adopters of EDI in the 1980’s and 1990’s-a few even before–resulting in reduced costs while increasing customer satisfaction. The ability of global industries to manage and gain visibility into their world-wide vendors is–in part—due to the adaption of EDI (including XML), and the associated automation of data into ERP systems. All this did not happen over-night, but was due to iterative processes. The health care industry needs to begin to emulate processes analogous to their commercial brethren to shrink bloated manual processing, and error correction costs.
You can read Mr. Barlow's full article below:
http://www.hpnonline.com/inside/2009-04/0904-fastforeward.html
Just last month, I spoke to a CIO and his team responsible for payments for health care services. They are currently processing manually over 1500 claims each day. No EDI. They use an optical scanner to “read” the claims, but still require clerks for corrections; resulting in high error rates as sometimes the optical or human readers find it difficult to read FAX’s. “l” could be a letter “L”, “I’ or the number one, etc. We all know the issues with optical scanners, manual data entry, inconsistent formats, and blurry faxes. As in any organization, fixing the errors can be costly. Worse-in his industry-if the payment is delayed too long, they must pay penalties.
That being said, hiring a knowledgeable consulting firm able to install a good EDI software solution or managed services; and, able to analyze and streamline business processes would result in a much more efficient-and cost effective-processing.
There is not a one solution fits all. I sell and implement both off-the-shelf B2B products, and also offer managed services. There is a place for both.
Stanford University’s Supply Chain Management Forum presented the paper in 2007,
Driving Business Value Through B2B Outsourcing by Barchi Gillai et al. The authors analyzed survey’s of 25 companies, and concluded ROI’s of nearly 250% were achieved. Skeptics (I include myself in this category) doubt the conclusions of the paper that these impressive ROI’s were due solely to the adaption of an outsourced Translation as a Service (TaaS) model; and also are skeptical of the 250% ROI. However, we can conclude some form of B2B adoption with competent consulting support, and internal management support, creates a very impressive ROI. “Many”-to use the paper’s quantifier of the analyzed 25 survey respondents-had a combination of both outsourced and in-house B2B models.
According to Bill Roberts-an independent writer, the author-Dr. Barchi Gillai-met other skeptics of her conclusions when she presented her results to B2B executives at the computing and electronics’ industry forum (ComTIA/EIDX). In his article, he says:
“Gillai’s presentation prompted a spirited discussion among the EIDX members, including some whose companies had considered B2B outsourcing and decided against it, because they found it too costly compared to internal solutions.”
You can find his full article here:
download.microsoft.com/download/9/a/7/9a791c44-6ae6-4b84-9c05-96078fd9d008/SUMMIT/OutsourcedB2B%20Processes.pdf
The Stanford Global Supply Chain Forum might have also tainted the credibility of their analysis as the project was funded by GXS, a prominent provider of B2B outsourcing services. In stark contrast to their conclusions, the researchers had to look no further than their prominent next door neighbor-Hewlett Packard-to find an example of a firm that tossed out their B2B outsourcing vendor, and returned to managing EDI/B2B in-house.
Still, one cannot help to conclude that EDI adaption-–when implemented properly--most often creates a significant ROI–-maybe not 250%--but very good. There were many studies on this back in the early ’90, when it was “EDI or DIE.”
Here is a list of potential reasons to adopt EDI processing:
- Reduction of data entry time and effort
- Reduction of data entry errors and time required for resolution
- Drastic reduction of filing time and costs
- Reduced disputes and time spend resolving disputes
- Reduction or elimination of penalties.
- Drastic reduction of costs for paper storage vs. electronic storage
- Easier retrieval time
- Cycle time reduction
- Savings in paper, fax machines, and ink
- Reduction in energy
- It’s green. Says Thomas Friedman: “The New Red, White and Blue is Green”.
- Easier to audit
- Creates infrastructure for continued Business Process Improvement
- Processing errors can more readily be captured, quantified and fixed.
- Consistent processing
- Conforms to government regulations and recommendations
Naturally, these benefits need to be weighed against the costs of:
- Software licenses (or managed services fees)
- Yearly maintenance fees
- Initial implementation costs
- Servers
- Upgrades
- Training
- Documentation
I did feel the frustration in Mr. Barlow’s statement: “Trolling for software shouldn’t be a seduction of the innocent or the ill-informed or a clever exercise in sophistry.” In the EDI industry, we all know some firms with great marketing, but inferior, costly, and complicated products.
Yet, methodologies for the vendor and software selection processes do exist.
Labels: Barlow, Gillai, HIPAA, HIPAA ROI, Outsourcing EDI, ROI, Stanford University Supply Chain Management Forum