Healthcare modernization solutions with Microsoft technology

Rising costs and clinical workforce shortages continue to create a need for more economical products, services, and operations within healthcare. Consumers and patients are looking for immediacy and convenience, including solutions for easy, 24/7 connectivity with insurers and healthcare providers. Providers are experiencing a gradual erosion of profit margins as they negotiate with payers. Additionally, health plans are facing the challenges of higher operating costs and rising prices for new and existing drugs. To enhance the benefits of technology in healthcare, leaders must adopt a strategic approach to effectively utilize their applications and systems.

With experience and tech-enabled healthcare business solutions built on Microsoft, PwC is helping the industry innovate across subsectors. We help provide new ways to solve today’s problems with the security and scalability of the cloud—and our award-winning team of more than 10,000 global-certified Microsoft consultants and engineers will help you overcome the healthcare challenges of tomorrow.

“While 81% of health services executives have adopted the cloud, nearly half have yet to realize all the value from their investment.”

Source: PwC, Next in Health Services 2024

The future of healthcare starts in the cloud

Healthcare modernization solutions use trusted Microsoft technology to provide your organization with transformative solutions that facilitate scalability and agility in response to market dynamics, regulatory shifts, and evolving patient needs.

Many healthcare organizations are still operating on legacy systems, forced to work across complex data silos comprised of inconsistent products, vendors and subsystems that hold valuable information.

Microsoft Fabric and Azure data platform services provide organizations with the tools to build a strong data foundation, leverage advanced analytics, and adopt generative AI capabilities. These tools make information more accessible to every business user, improving efficiency, data-driven decision making, patient and clinician experiences, and overall operations. By incorporating generative AI into healthcare practices, organizations can pave the way for a more effective healthcare system.

See what PwC and Microsoft can do for you

Innovation and modernization at scale
Efficient operations, including finance and back-office processes
Migration of data and workloads
Analytics for patient insights and accelerated development
Strong trust and security and control measures
Improved patient engagement and experience

“PwC and Microsoft are working in lockstep to solve important health and life sciences problems with innovative human-led and tech-powered solutions built on Microsoft technologies including Microsoft Copilot and Microsoft Azure OpenAI Services. PwC is market making in generative AI for health and life sciences.”

Jim Conmy,General Manager, Plans & Providers, US Health and Life Sciences, Microsoft

Industry-leading experience, tech-enabled healthcare solutions

Discover how driving healthcare modernization solutions with Microsoft technology are helping to revolutionize healthcare operations and delivery of services for these industries:

Payers

Insurers are encountering challenges on the path to digital transformation. Outdated systems and applications hinder scalability, and today’s administrative processes require digitization and greater efficiency. Decentralized, fragmented data creates barriers to transparency and impedes the development of critical insights on health-plan members. Plan administrators need to continuously learn more about members, streamline operations, and maintain strong relationships with providers to keep pace with industry changes. Our cloud services can help create value and support better health outcomes.

Expand access to the value-based care today’s members expect.
Become an active advisor to members and a strategic partner to providers.
Manage relationships and reduce operational inefficiencies with the power of analytics.

A Health Command Center uses targeted care and disease management interventions to achieve better health outcomes.
AI-powered workflows for processes such as prior-authorization and claims processing make care management more economical and efficient and help payers meet emerging CMS mandates.
Platforms for provider communication and virtual health improve member experiences throughout the care journey.
Payer Insight uses automation and AI to support key business functions across departments.

When a regional health insurance carrier needed to meet Centers for Medicare & Medicaid Services (CMS) mandates on a tight deadline, PwC and Microsoft were there to help. With PwC’s experience in operations, technology, and policy and Microsoft technologies’ custom capabilities, the payer was able to build its digital presence, empower members with improved programs and applications, and meet CMS requirements ahead of schedule.

Providers

Patients are looking for more from their healthcare providers, and consumer expectations have changed due to an increasingly digitized self-service world. And as virtual care becomes more common, providers are facing new complexities in supporting patients’ needs. Confidentiality and compliance remain key considerations, but legacy systems aren’t designed to keep up with changing times. PwC helps providers make communications, data management, and care more efficient, resulting in better outcomes for patients.

Create intuitive, streamlined digital experiences for patients with improved referrals, scheduling, and easy-to-navigate platforms.
Enable secure, effective communication with time-saving automations and better physician alignment.
Support patients with personalized engagement, care, and enhanced diagnostics.
Provide advanced security measures, such as encryption, access controls, and regular security updates, to protect patient data from unauthorized access fostering trust among patients and complying with regulatory standards like HIPAA (Health Insurance Portability and Accountability Act) in the process.

Electronic Health Records (EHR) modernization on Azure provides a cost- efficient and highly resilient EHR ecosystem for critical health systems operation and efficient care delivery.
Contact-center transformation empowers providers to deliver high-quality customer experiences with consistent, personalized, seamless service.
Care-management outreach and engagement use AI to proactively lower costs and improve patient outcomes.
Virtual health solutions help providers save administrative time and treat patients wherever they are.

A US hospital system with multiple locations needed to unify its contact centers. With PwC’s guidance, Microsoft's cloud services, and Dynamics 365, this leading provider developed an omnichannel experience that meets patients’ needs, eliminates inefficiencies across contact centers, reduces operational costs, and increases revenue.

Medical technology

Fast, accurate diagnoses can change — or save — lives, and new medical technology is giving patients and providers new ways to approach treatment. But medical technology organizations are facing a host of challenges on the road to better patient outcomes, including decentralized research and development (R&D) processes, supply chain disruptions, new regulations, and the changing needs of patients. To find a way forward, these organizations are turning to a trusted partner in PwC and the innovative capabilities of Microsoft technologies including Microsoft Copilot and Microsoft Azure OpenAI Services.

Use digital technology to boost supply chain resilience and drive improvements in manufacturing quality.
Refine operations with automation and cloud-powered innovations.
Enhance R&D while learning about customers and their needs.

Inventory management, demand forecasting, transport monitoring, and digital-twin capabilities help medical technology organizations prevent — and recover from — supply chain disruptions.
Analytics for sales, pricing, and consumer insights enable medical technology organizations to reach new audiences.
Data and analytics services improve access to information, accelerating research and development timelines.

Researchers and clinicians need readily accessible data to combat idiopathic pulmonary fibrosis and other lung diseases. We combined Microsoft AI, analytics, and cloud technology to power a medical imaging and data repository platform. The result: a secure, open-source digital environment that automates quality control and supports groundbreaking insights in treatment. Learn more here.

Life sciences and pharmaceuticals

Efficiency is essential for life sciences and pharmaceutical companies: R&D processes rely on timely, well-informed decision making and a consistent, streamlined approach to data. Managing clinical trials can be labor-intensive and fraught with hurdles, including optimizing outreach methods and keeping up with regulatory requirements. Overcoming obstacles and increasing innovation require a holistic approach to every stage of the value chain — and our strategies thrive in the cloud. As a trusted advisor in the industry, we help life sciences and pharmaceutical companies build future-focused business models on flexible, low-code Microsoft technology.

Accelerate development timelines by improving access to data.
Drive marketing insights with digital and advanced analytics capabilities.
Modernize commercial and back-office operations by getting more value from the cloud.

Consolidating data on the cloud creates a centralized, accessible source of information for faster analysis and better decision making.
Customer segmentation and analytics help pinpoint opportunities to increase the customer base, drive revenue, and build stability.
Self-service tools empower R&D teams to identify bottlenecks, estimate impact, and take swift action.
PwC’s intelligent clinical trials capabilities and Azure OpenAI solutions can contribute to shortening the drug development cycle.

Astellas Pharma partnered with PwC and Microsoft Azure to develop an integrated data environment on the cloud. This allowed Astellas to automate and consolidate multiple independent source systems into one reliable, real-time repository, harmonizing data from forty-eight systems. The new platform provided a single source of truth for their research and development operations, enabling faster data delivery, improved analysis, and more informed decision-making. Learn more.

Contact us

Anupriya Ramraj

Principal, Cloud and Digital, Microsoft Practice, PwC US

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