IBM Sales and Distribution
Solution Brief
Highlights
● Gain a consolidated and trusted
enterprise-wide view of member
information
● Present member-centric information to
all member servicing touch points and
channels
● Optimize member-centric data and
deliver information as a service
● Improve health program outcomes and
effectiveness while reducing overall
costs
● Increase knowledge-based decision
making through deployment of modern
analytics technologies
Health Plans
Member 360 for
healthcare
Gain a panoramic view
Employers and members, frustrated with the rising costs of healthcare
benefits, are looking for multiple alternatives to maximize their invest-
ments in benefits payments, and to reduce their costs, including shift-
ing more costs onto the employee and personal health savings plans.
Employees, bearing much more of the burden for healthcare costs, are
making increased demands for service, value and personalization.
Health plans need to be able to provide improved service to both, and
the start of that improvement needs to be better management of mem-
ber data. The Member 360 solution for healthcare from IBM can help
healthcare organizations deliver a highly personalized experience by
providing a single, complete and consistent view of the member across
all servicing touch points, while meeting tactical cost-of-care reduction
goals and strategic overall health and financial wellness goals.
A holistic view of the policyholder maximizes service and reduces costs
through integrating information across the enterprise. By creating a
single view of the truth across disparate systems, you can dramatically
streamline analysis, care and product development processes.
A 360-degree view of the patient helps transform care, and real-time
information analysis can speed delivery of appropriate programs. This
technology-driven delivery can enhance efficiency and also help
healthcare organizations reduce costs—and organizations skilled at
identifying and deploying key technologies have a sustainable
competitive edge because they can defend their market share amidst
increasing competition.
The Member 360 solution can help healthcare organizations transform
into more member-centric businesses, offering competitive advantage
to health plans that can aggregate and draw insights from the volumes
of data stored in their systems. Our solution provides a flexible archi-
tecture that helps reduce the expense of data integration and provides a
single, enterprise-wide view of critical business and member data.
Using insights gained from an aggregate view of a customer’s health
records, health plans can help customers better manage their health,
reduce medical costs and increase customer satisfaction.
Unlike inflexible point-to-point solutions that can inhibit growth and For more information
adaptability, an integrated information management approach allows To learn more about the Member 360 solution
healthcare organizations to achieve several important benefits. for healthcare, please contact your IBM represen-
Hospitals and physicians practices can improve the quality and safety of tative or IBM Business Partner, or visit:
care, increase patient satisfaction, enhance operational efficiency and ibm.com/healthcare
cost-effectively comply with government regulations while reducing
the cost to maintain their information infrastructure. The solution can
also help health plans boost growth and profits, comply with govern-
ment regulations, respond to consumer pressure for more choices and
accelerate claims processing while addressing employers’ objectives for
health and wellness solutions.

The Member 360 solution utilizes a comprehensive end-to-end

transformation framework to easily and quickly deliver an integrated
information management system for health plan data. The solution
provides information and insights across the enterprise at strategic
points in the business operation. This can help improve overall opera-
tions and customer satisfaction.

Our solution can help you:

● Provide current, accurate and complete member data to virtually all

systems and channels.
● Improve member satisfaction by offering, convenient self-service
functionality.
● Interact and build relationships with members through online
services.
● Manage the complete member view along several dimensions, includ-
ing role, household and product. © Copyright IBM Corporation 2010
● Integrate and manage all of the various enterprise member enroll- IBM Corporation
ment, claims, health management and personalization data in real Route 100
Somers, NY 10589
time or in batches.
● Enable new customer-centric strategies, such as transparency and Produced in the United States of America
March 2010
consumerism, and outline an enterprise information management All Rights Reserved
strategy and roadmap.
IBM, the IBM logo and ibm.com are trademarks or
● Build provider relations by speeding the claims process and improv-
registered trademarks of International Business Machines
ing accuracy. Corporation in the United States, other countries, or both. If
● Gain better insight from information to understand and serve mem- these and other IBM trademarked terms are marked on their
first occurrence in this information with a trademark symbol
bers more effectively.
(® or ™), these symbols indicate U.S. registered or common
● Provide easy access to information while helping to ensure data and law trademarks owned by IBM at the time this information
systems are secure. was published. Such trademarks may also be registered or
common law trademarks in other countries. A current list of
● Deliver the right information to the right people when they need it.
IBM trademarks is available on the Web at “Copyright and
trademark information” at ibm.com/legal/copytrade.shtml
Our Member 360 solution can transform your organization’s data into
Other product, company or service names may be
a strategic asset, making a difference in how you do business. IBM is a trademarks or service marks of others.
proven leader in software development and innovation, and we con-
tinue to make significant investments in the area of healthcare and
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insurance. We understand your business objectives, and design our
solutions to be open, scalable and reliable.

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