“Siemens Healthineers has 12 different SAP Systems. These are effective for one-time charges but are not capable of managing recurring revenue models. That’s where Zuora comes in.” - Jan Goepel, IT Strategist at Siemens Healthineers

Company Siemens Healthineers
Industry Healthcare

The Customer

Siemens Healthineers enables healthcare providers worldwide to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, improving patient experience, and digitalizing healthcare. A leader in medical technology, Siemens Healthineers is constantly innovating its portfolio of products and services in its core areas of diagnostic and therapeutic imaging and in laboratory diagnostics and molecular medicine. Siemens Healthineers is also actively developing its digital health services and enterprise services.

The Challenge

As Siemens Healthineers launched new subscription-based products driven by the cloud and artificial intelligence (AI), their existing IT infrastructure (built for one-time transactions) didn’t have the capabilities to support a subscription business model with multiple customer touch points.

The Solution

Siemens Healthineers added Zuora Billing and Zuora Revenue to their IT stack, enabling them to automate previously manual processes and institute new key performance indicators (KPIs) to power their subscription recurring revenue business model.

The Benefits

Automation helped Siemens tame complexity, reduce the number of manual process steps by more than 60%, and shorten the processing time by about 75%. Zuora also helped Siemens Healthineers gain insights that validated their subscription business model.

“Zuora Revenue has reduced the number of manual process steps by more than 60% and shortens the processing time by about 75%. And it also supports the long-term success of the subscription model, with new leading KPIs such as active users, premium conversion rates, and churn rates.” – Florian Rachny, Head of Digital Business Processes, Siemens Healthineers


Siemens Healthineers’ mission is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide everyday benefit from the company’s innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine as well as digital health and enterprise services. Siemens Healthineers is a market leader in diagnostic imaging offering systems for computed tomography, magnetic resonance imaging, molecular imaging, X-ray products, ultrasound and imaging IT.

Historically, the company has operated a transactional business model with one-off sales, selling both hardware, such as above mentioned imaging equipment and point of care systems, as well as on-premise software. But with advances in cloud computing and AI along with changes in customers preferences (from purchasing one-off products to investing in desired outcomes), they saw new opportunities that required new business models.

The opportunity in collecting and operationalizing vast amounts of imaging and other health data in the cloud, coupled with powerful AI-based solutions, triggered Siemens Healthineers to develop offerings like the teamplay digital health platform. AI-Rad Companion, is an AI-supported, cloud-based image interpretation tool for different modalities and body regions. It serves as a digital backbone for healthcare providers supporting decision-making along the entire patient pathway. In addition, AI-Pathway Companion, an AI-based software, facilitates personalized and standardized diagnosis and treatment decisions along disease-specific care pathways.

But to monetize these new products and unlock their full value, Siemens Healthineers realized they couldn’t sell and deliver these products as single transactions, spaced years apart. Multiple customer touch points and the ability to make continual updates and improvements are best served by a recurring revenue subscription model. Plus, as healthcare datasets keep growing, AI algorithms keep evolving, and customer' preferences keep shifting, they needed an adaptable service model that could deliver value to customers in real time.

But, because a subscription model brings complexities like smaller payments (as opposed to a large CAPEX outlay for expensive equipment), increased volume, frequent subscription changes, and more — the back-office process requirements are different. And Siemens’ Healthineers existing IT systems, including their ERP, weren’t able to handle all this complexity in a fully automated fashion.

Enter Zuora.

“For several of our digital portfolio elements and continuously evolving offerings, we needed to transform underlying business models from transactional to recurring,” explains Rahma Samow, Head of Siemens Healthineers Digital Health Global Sales, Marketing and Digital Go-to-Market. A growing number of customers are looking for more flexible investment arrangements than mere up-front and rather large investments.”

Florian Rachny, Head of Digital Business Processes adds: “And to optimally support these proceedings with a state-of-the-art digital business process in the backend, we needed technical support for IT.” We really wanted to enable the new business model. Without Zuora, we would not be able to scale up going forward.”

To support the new business model, Siemens Healthineers added Zuora Billing and Zuora Revenue as a new system layer into its IT backbone to extend the traditional ERP structure and manage a parallel ongoing subscriber revenue lifecycle directly in their financial systems.

Zuora now powers back-office processes like tax calculation, accounting, invoicing, and license management. Zuora also helped the company institute new leading KPIs, such as the number of active users, premium conversion rates, and churn rates.

For some parts of its portfolio, Siemens Healthineers has also begun the transition from simple cost-plus pricing to pricing based on delivered value. “For example, the AI-Rad Companion is priced based on productivity savings and quality improvements in customer settings,” says Samow.

Zuora serves as the agility backbone to automate the entire order-to-revenue process. And the success has been considerable. Finance reduced the number of manual process steps by more than 60% and shortened the processing time by about 75%. Automation helps Siemens Healthineers to unlock productivity for their finance team and accomplish their larger strategic goals, and provides a foundation for scaling efficiently.

And their journey is only beginning. With a subscription model now established in the US, Siemens' Healthineers next move is to launch in Japan, in January 2021.

“Adding Zuora to our IT backbone has unlocked hidden productivity and provided a foundation for scaling up efficiently in the future,” says Florian Rachny.

“More & more customers are buying into the idea of continually experiencing new functionalities, new features, & new capabilities over time. With Zuora running in the background, we are well-equipped to deliver sustainable value to our customers, based on dynamically evolving offerings that fit the healthcare industry & care providers’ demands.” – Rahma Samow – Head of Siemens Healthineers Digital Health Global Sales, Marketing and Digital Go-to-Market

“Zuora gave us both technical & strategic capabilities to venture into more adaptable pricing models for individual offerings – based on specific care providers’ demands. We have a new, forward-looking mindset that measures success in terms of achieving strategic objectives.” – Juergen Steinheber Siemens Healthineers Digital Health Go-to-Market for teamplay digital health platform.

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