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Hyperautomation instead of hyperventilation

The future of health insurance companies: Digital transformation as a key factor

Hyperautomation instead of hyperventilation
09.10.2024
Healthcare & Life Science
Digital Transformation
Data Management
Artificial Intelligence

Statutory health insurance funds at the limit - is the German healthcare system on the brink of collapse? The situation is not yet as dramatic as recent studies, e.g. by PricewaterhouseCoopers. But the shortage of around 1.8 million specialists by 2035 will also have a considerable impact on health insurance companies! Estimates vary between 13,500 and 15,000 vacancies that cannot be filled - in the next five years alone. Digitalization, on the other hand, offers opportunities: however, a good dose of hands-on mentality and well-positioned IT partners at your side are absolutely essential. Then it will make a significant contribution to cushioning the shortage of skilled workers and not letting it get out of hand by achieving noticeable increases in efficiency.

Learning from cars and computers

This is exactly where the SHI providers have to start now. However, the lake is still calm at times: either their own assessment resembles famous statements such as "The car is a passing phenomenon. I believe in the horse." (attributed to Kaiser Wilhelm II) and "There is a world market of perhaps five computers" (Thomas Watson). Or - second possibility - the willingness and knowledge of the new opportunities are present in many cases, only the first step in the right direction is missing. Despite the increasing shortage of skilled workers and high pressure to digitalize, the question that often arises is: "Where do we start - and with what?" But gasping for breath and breaking out in a sweat are unnecessary!

The first step towards hyperautomation

It doesn't have to be the big hit. Cloud-native complete solutions are desirable and also economically interestingbut a wide range of regulations need to be observed before the changeover. What's more, switching all IT to cloud technologies also means a complete cultural change in the SHI system, as every single process is not only put to the test, but also optimized for the future and with cloud tools. That takes time.

It is easier to get started if a SHI company looks at an individual business process in isolation and automates it in future. This not only saves nerves and time, but also makes it possible to take a breath, reflect and rethink processes. As a technology of the so-called hyperautomation RPAs (robotic Process Automations) is used, for example, for invoice verification. Discount agreements are taken into account - all framework conditions are securely stored. The investment costs for this first step in hyperautomation usually pay for themselves quickly. The manual sub-steps are increasingly eliminated, with processing only taking over when more far-reaching decisions need to be made ("human inthe-loop" concept). At Arvato Systems, we base our degree of automation on the well-known 80/20 rule - the Pareto principle. And 80 percent time savings in certain processes, such as the the four-eyes principle, a considerable increase in efficiency.

Start with simple processes

The application review also offers a good entry point for the initial use of hyperautomation and the start of the cloud transformation. In principle, RPA-Sysystems can be implemented well here, as the programming effort is manageable with standardized processes. Our solutions always take into account how the healthcare system in Germany will develop digitally in the coming years. For example, the telematics infrastructure (TI) in Germany will eliminate some interfaces in the future. This will make certain processes even simpler - while others, including legal requirements, will increase. However, automation also has another strength here: it can be used to implement new regulations in particular, so that no new processes need to be set up or resources tied up, for example for auditing standards or for checking and evaluating legal bases.

Bringing light into dark processing

Due to the rapidly increasing shortage of skilled workers see we at Arvato Systems see hyperautomation as an immense growth market for Germany and Europe, particularly in the healthcare sector and in the GKVs.


Not least not least This is one of the reasons why, for the sake of simplicity and clarity, we have simply named our solution for this segment Hyperautomation. Working in partnership, we ensure that GKVs future-proof and see far more than just a little light at the end of the digitization tunnel.

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Advantages of hyperautomation with Arvato Systems

Retaining and attracting skilled workers

Contrary to popular belief, AI (artificial intelligence), cloud and other technologies are helping to solve the skills shortage. Employees are not being made redundant - instead, work is becoming more attractive and challenging. Activities will become more varied as time-consuming manual tasks are automated. In addition, statutory health insurance will remain attractive for skilled workers if it is up-to-date. Hyperautomation can already help to improve the image. Freed-up capacities can flow into new cloud projects or into supporting policyholders and improving service quality.

Optimized decision-making and customer experience

Insured persons are always satisfied when they receive a comprehensible decision quickly. Hyperautomation works in both directions here: By automating data collection and analysis, the health insurer can make better decisions faster - and automated processes help to improve the customer experience by providing faster, more accurate responses to policyholders' queries and requirements. Errors, incorrect advice and wrong decisions are thus effectively minimized or, in special individual cases, assigned to the processing department. This allows them to concentrate on the important issues that require a more human assessment. This increases customer satisfaction and the reputation of SHI.

All-round carefree package

The questions that SHI companies often ask themselves in automation projects are: "How can we precisely define our project requirements in a tender if we are not yet able to fully understand or articulate our own needs? And how can we assess a potential service provider in terms of expertise, competence and contractual compliance?" - Our answer: "Put us and our all-round carefree "hyperautomation" package through their paces. Start with manageable projects such as the automation of application or invoice checks. You will be surprised how cost-effective these first steps can be. A particular advantage is that in many cases not even a complex tender is required. This allows you to try out our collaboration with minimal effort and gain realistic insights into the potential of hyperautomation."

Hyperautomation - a quick start and connectable tool

The bottom line is that SHI providers benefit from taking the first step with us and future-proofing their digital transformation. Regardless of whether you have previously hosted your data in a local data center, partly in the cloud or in your basement - hyperautomation à la Arvato Systems is a fast entry-level project that is highly connectable and can be profitably implemented in any IT infrastructure. The Readyto-use-solutions from Arvato Systems are the ideal introduction to hyperautomation.

Twelve advantages at a glance

SHIsthat opt for hyperautomation as the start of the next stage of digital transformation benefit from a whole range of advantages:

Effective step against the shortage of skilled workers
Simple, fast start to the automation of processes
Increased efficiency & productivity through improved effectiveness of business processes
Reduction in administrative costs
Increased competitiveness - also in the contribution rate for policyholders
Error-reduced, faster and more secure data collection
Optimized analysis of health & billing data to assess resource effectiveness
First step towards predictive analytics
Counterbalance to the shortage of skilled workers and demographic change
Future-proof connection to further technological development
Ideal entry into further cloud-based work, for example with AI or analytics
Increased service quality

All you have to do first is give us a call - we'll be happy to go the rest of the way with you!

We at Arvato Systems see hyperautomation as the perfect opportunity to launch new technologies relating to AI, the cloud and more. As a digitization professional in the German healthcare sector, the company knows the needs of the industry and is taking on the challenge of noticeably improving the quality of digitization with secure tools. Arvato Systems offers all solutions from a single source: whether complete cloud transformation or individual modules such as an RPA for application verification. We ensure that SHI providers can concentrate on their core tasks again - looking after their policyholders and their healthcare.

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Written by

Markus Wulfern
Markus Wulfern
Expert for GKV digitization projects