Envision Healthcare | Okta (2024)

M&A growing pains, security challenges

Over the past six years, Envision Healthcare has grown through mergers and acquisitions. Since 2014 alone, they’ve acquired 20 companies. Coupled with an ever-changing IT landscape, IT has faced their share of challenges. “Technology plays a significant role as we've gone through acquisitions and continue to grow and evolve,” Mark Hagan, chief information officer, noted.

Hagan’s department runs IT for Envision Healthcare’s three market segments: American Medical Response, the largest ambulance company in the United States; EmCare, the physician-services business; and Evolution Health business, the post-acute-care services. Hagan is responsible for guiding the technology strategy and teams in each segment.

In terms of leveraging the cloud, Hagan sees a lag between healthcare’s rate of adoption compared to that of other industries. However, using a cloud-first approach is a key part of Envision’s IT strategy. “We look at every application that’s out there and typically look for cloud-based applications first.”

Technology plays a significant role as we've gone through acquisitions and continue to grow and evolve

Envision Healthcare’s employees—from ambulance drivers to hospital healthcare workers—need to be mobile to effectively do their jobs. “They’re accessing applications in many different hospitals across the nation or in ambulances, and the cloud enables that capability much faster and certainly more securely than if we were to try and do that ourselves,” Hagan said.

When it came to managing users in cloud applications, Hagan realized the company was getting what he called “application sprawl,” especially with all the mergers and acquisitions. Employees started to create their own user IDs and passwords. As a result, IT had no control over who was accessing what or if employees were following the proper security practices.

One major concern—true for the industry—was the need to adhere to HIPAA regulations and protect the privacy of patient data.

Envision Healthcare | Okta (1)

A quest for security leads to Okta

In healthcare, security is paramount. Hagan realized he needed better control over users in cloud apps and the way they accessed company data. He started on a mission for an identity solution that met the following criteria:

Integrate mergers and acquisitions quickly
Hagan was looking for a more efficient approach than using manual processes to integrate companies that Envision Healthcare acquires. IT needed to find a solution for expediting the process, as IT spent over 1,200 hours per year on domain consolidation projects, and newly acquired employees were oftentimes unable to access the applications they needed to do their jobs for upwards of two weeks.

Manage user access in the cloud apps
IT searched for a solution to integrate their Active Directory systems with their cloud-based applications. They wanted to gain control over who was accessing apps as employees joined and left the company, while also ensuring users followed the company security policies to protect patient data.

Set up easy-to-use multi-factor authentication
Hagan wanted to implement a multi-factor authentication system that was not only easy to deploy, but also easy to use. That meant guaranteeing employees would not have to carry around tokens.

Scalable system that’s always on
Scalability and ease of access were key. Envision Healthcare sees a patient every 30 seconds, so it’s important for physicians and clinicians to access their applications without any downtime.

IT chooses Okta, ensuring user authentication, securing data

In making the decision about which identity system to choose, Hagan looked at both Okta and Microsoft. “We decided to do a little bit of a bake off,” Hagan recounted. “We piloted Okta against Microsoft and had Okta up and running in the test environment in less than a week.” IT was able to demonstrate the value of Okta across three applications—Chronus, SuccessFactors, and Office 365. Hagan also realized Okta ticked the box for integrating users and their apps from numerous acquisitions.

We piloted Okta against Microsoft and had Okta up and running in the test environment in less than a week.

With more and more users accessing apps in the cloud, on-prem or remotely, Hagan made security a priority. “Going with Okta was the best decision since we were positive we had the right access controls in place to ensure that whoever was accessing that data was authenticated and appropriate within our organization.”

Envision Healthcare | Okta (2)

With Okta, Envision gains greater agility and a more secure environment

Hagan was sure that if you start with identity management, you’re on the right path for success. Given Envision Healthcare’s level of M&A activity, they have a veritable revolving door of employees coming and going. “One of the things you don’t want are issues around HIPAA because employees have left and still have access to company data,” Hagan explained.

Universal Directory enabled newly acquired users from M&A quick gain access to parent-company apps. Okta also improved security, while decreasing IT administration costs with inbound federation for hospitals. Now, hospitals can manage access for their own staff to ensure access is revoked when employees leave the company.

If you want a cloud-based identity-management system that's easy to use and easy to implement, you go with Okta.

Okta made it easy to deepen data security. “One benefit Okta brought to the table was their ease-of-use deployment methodology for rolling out two-factor authentication as opposed to typical, traditional models that you have to implement,” Hagan pointed out.

Within the first year, IT registered 40,000 accounts using the Okta Identity Cloud and 10 deployed applications across their environment, starting with cloud-based apps and their ERP system. “It’s deployed; it’s working; and we’ve had no issues,” Hagan said. “We’ve had no one report problems of not being able to access or get through.” And two-factor authentication has proven successful.

What’s next? By early 2017, Hagan aims to migrate 120 of their 600 apps to Okta—focusing first on the apps earmarked as high risk.

“Healthcare companies looking for two-factor authentication, the ability to manage their identities well, and capabilities to federate with other hospitals—as well as a universal directory—should seriously look at Okta,” Hagan explained. The bottom line? “If you want a cloud-based identity-management system that's easy to use and easy to implement, you go with Okta.”

Envision Healthcare | Okta (3)

About Envision Healthcare

Envision Healthcare is a leading provider of physician-led, outsourced medical services headquartered in Greenwood Village, CO. They provide a broad range of coordinated, clinically based care solutions across the continuum of care from medical transportation to hospital encounters to comprehensive population health services.

Envision Healthcare | Okta (2024)


What is the Envision Healthcare controversy? ›

Recent Lawsuit Part Of Larger Push For Stricter Corporate Practice Of Medicine Enforcement Across The Country. The American Academy of Emergency Medicine Physician Group recently sued Envision Healthcare, alleging that the company uses shell business structures to evade corporate practice of medicine laws.

Who owns Envision Healthcare? ›

Private equity firm KKR purchased Envision in 2018 in a take-private deal valued at $9.9 billion.

What kind of company is envision? ›

Envision Physician Services is a multispecialty physician group and healthcare management team providing high-quality care in emergency medicine, hospital medicine, radiology, anesthesiology, women's and children's services, office-based medicine and more.

Why am I getting a bill from Envision? ›

This bill is for the medical care you received from an Envision clinician during your hospital visit or stay. The clinician practice is not a part of the hospital. Since the hospital and physicians are paid separately, you might receive more than one bill.

Is Envision Healthcare going out of business? ›

Nashville-based medical group Envision Healthcare, which filed for Chapter 11 bankruptcy in May, has completed and emerged from its restructuring process with a markedly strengthened capital structure and is ready to grow, the company announced.

What is the lawsuit against Envision physicians? ›

On December 20, 2021, the American Academy of Emergency Medicine Physician Group (AAEM-PG) filed suit in the Superior Court of California against Envision Healthcare Corporation. AAEM-PG is responding to the takeover of an emergency department contract at Placentia Linda Hospital, part of the Tenet system.

What is the old name for Envision? ›

In 2011, EMSC was acquired by Clayton, Dubilier & Rice. On June 11, 2013, EMSC changed names to Envision Healthcare and went public as EVHC.

What was Envision Healthcare former name? ›

Envision Healthcare
FormerlyEmergency Medical Services Corporation
Traded asNYSE: EVHC
HeadquartersNashville, Tennessee
Key peopleJay F. Grinney (chairman)
6 more rows

Is Envision Healthcare public or private? ›

Envision is owned by KKR, the private equity powerhouse. Between them, Envision and TeamHealth, owned by the private equity firm Blackstone, control at least one-third of U.S. hospital emergency departments. The suit, filed in California state court, does not seek monetary damages.

Is Envision a Chinese company? ›

Founded in 2007, Envision is China's second largest wind turbine company and among the largest in the world. Headquartered in Shanghai, it has regional offices throughout Asia, Europe, and North and South America, and has established global R&D and engineering centres in Denmark, Germany, Singapore and the US.

Who is the new CEO of Envision? ›

— Envision Healthcare, a leading national medical group, today announced the appointment of Jason Owen as President and Chief Executive Officer (CEO), effective April 15, 2024. He will also serve as a member of Envision's board of directors.

How big is Envision Healthcare? ›

Envision Healthcare has 70,000 total employees.

Is Envision Physician Services a real company? ›

Envision Physician Services is a multispecialty medical group and healthcare management team with more than 60 years of experience delivering high-quality, cost-effective patient care.

Why did my budget billing go up? ›

The Budget Billing program averages your energy costs over the previous 12 months to determine your monthly payment amount. If your actual energy costs significantly change, we adjust your monthly Budget Billing payment amount once every four months.

Can I negotiate bills? ›

One way to lower your monthly bill is to hop on the phone to negotiate with service providers. By calling them up directly, you might be able to cut fees and lower your subscription costs. But not everyone has the time to spend hours on the phone, especially when there's no guarantee they will score a better deal.

Why is healthcare a controversial issue? ›

Beyond individual and federal costs, other common arguments against universal healthcare include the potential for general system inefficiency, including lengthy wait-times for patients and a hampering of medical entrepreneurship and innovation [3,12,15,16].

Did KKR lose money on Envision? ›

Bankruptcy either eliminated the debt or turned it into equity. In essence, the lenders now own the assets of the company, and KKR lost $5 billion.

How much debt does Envision have? ›

NASHVILLE, Tenn. – May 15, 2023 – Envision Healthcare Corp.

Envision has entered into a Restructuring Support Agreement (RSA) with its key stakeholders supported by more than 60 percent of the company's approximately $7.7 billion in debt obligations and expects that support will continue to grow in the coming days.

Why is healthcare such a controversial topic? ›

Many people do not have access to reliable healthcare, for a variety of reasons, including poverty and high cost of insurance, raising the question of whether or not healthcare can remain simply public health concern, or if it is both a public health and human rights issue.

Top Articles
Latest Posts
Article information

Author: Geoffrey Lueilwitz

Last Updated:

Views: 5409

Rating: 5 / 5 (60 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Geoffrey Lueilwitz

Birthday: 1997-03-23

Address: 74183 Thomas Course, Port Micheal, OK 55446-1529

Phone: +13408645881558

Job: Global Representative

Hobby: Sailing, Vehicle restoration, Rowing, Ghost hunting, Scrapbooking, Rugby, Board sports

Introduction: My name is Geoffrey Lueilwitz, I am a zealous, encouraging, sparkling, enchanting, graceful, faithful, nice person who loves writing and wants to share my knowledge and understanding with you.