Your Needs.
Cost Take Out
Minimize Cost of Waste and Non-Compliance
Minimize Cost of Waste and Non-Compliance
Target administrative redundancies, inefficient care management practices, and overutilization of low-value services.
Cut wasteful expenses.
Minimize Cost of Waste and Non-Compliance
Minimize Cost of Waste and Non-Compliance
Minimize Cost of Waste and Non-Compliance
Streamline healthcare operations to minimize waste, and mitigate non-compliance risks.
Enhance financial outcomes through better compliance.
Eliminate and Automate Process
Minimize Cost of Waste and Non-Compliance
Eliminate and Automate Process
Identify and replace non-value-added processes with low-cost tech-enabled solutions.
Make core operations efficient and effective.
Boost Resource Productivity
Boost Resource Productivity
Eliminate and Automate Process
Move towards a model where the employees work at their full potential and professional training.
Towards a more effective and engaged workforce.
Deploy Enabling Tech
Boost Resource Productivity
Enable Value Based Care
Achieve wider adoption of tools, data insights and electronic processes.
Make technology a "co-pilot" for your teams.
Enable Value Based Care
Boost Resource Productivity
Enable Value Based Care
Include tech enabled-processes, advanced analytics, and timely clinical decision support.
Achieve higher margin and outcomes from contracts.
Achieve Stakeholder Customization
Achieve Stakeholder Customization
Achieve Stakeholder Customization
Make customer interactions relevant, beneficial and tailored.
Help patients be more engaged and adherent.
Maximize Reimbursement
Achieve Stakeholder Customization
Achieve Stakeholder Customization
Improve organizational risk adjustment operations and workflow effectiveness by utilizing information from digitized systems and patient touchpoints.
Improve revenue from reimbursement.
Your Opportunity.
Automate Core Operations
Personalize Service and Care
Automate Core Operations
- Automated Data Extraction and Integration: Extract and organize data from various sources like patient/member records, claims, and trading partners to eliminate manual data entry, reduce errors, increase quality and to ensure compliance with regulation.
- Intelligent Document Processing: Automate tasks like eligibility verification, prior au
- Automated Data Extraction and Integration: Extract and organize data from various sources like patient/member records, claims, and trading partners to eliminate manual data entry, reduce errors, increase quality and to ensure compliance with regulation.
- Intelligent Document Processing: Automate tasks like eligibility verification, prior authorization processing, utilization management decisions, fee schedule updates, provider credentialing and re-credentialing and coding by intelligently extracting and validating information from source documents and forms.
- Robotic Process Automation (RPA): Automate repetitive tasks like updating fee schedules, provider enrollment, credentialing, prior authorization decisioning, clinical and admin data entry to free up human resources for higher-value activities
Empower the Workforce
Personalize Service and Care
Automate Core Operations
- Real-Time Operational Insights: Provide dynamic dashboards and reports with actionable insights on administrative processes, resource allocation, and key performance indicators (KPIs), enabling data-driven decision-making and improved efficiency.
- Automated Exception Identification and Alerting: Employ AI to identify anomalies and potential
- Real-Time Operational Insights: Provide dynamic dashboards and reports with actionable insights on administrative processes, resource allocation, and key performance indicators (KPIs), enabling data-driven decision-making and improved efficiency.
- Automated Exception Identification and Alerting: Employ AI to identify anomalies and potential issues in real-time, alerting administrative staff to urgent matters requiring immediate attention, ensuring timely problem resolution and improved quality of care.
- Deploy Enabling Tech to Alleviate the Labor Shortage: Use AI/ML technology of advanced analytics, automation, computer vision, LLMs and prediction to enable top-of-license and more complex work, improve employee engagement and retention.
- Predictive Workload Management: Forecast future workload based on historical data and trends, allowing proactive staffing adjustments and resource allocation to prevent bottlenecks and optimize team performance and value generated.
Personalize Service and Care
Personalize Service and Care
Personalize Service and Care
- Personalized Care Plan Recommendations: AI models leverage patient data to suggest tailored care plans that consider individual risk factors, preferences, and evidence-based practices. This allows providers/ clinicians to close gaps-in-care and better care coordination.
- Predictive Analytics for Clinical Plan Development: AI forecasts indiv
- Personalized Care Plan Recommendations: AI models leverage patient data to suggest tailored care plans that consider individual risk factors, preferences, and evidence-based practices. This allows providers/ clinicians to close gaps-in-care and better care coordination.
- Predictive Analytics for Clinical Plan Development: AI forecasts individual patient needs, such as specialist referrals or follow-up appointments, based on their history and similar cases. This supports population health management to craft care plans with greater chances of patient/member adherence.
- Population Health Management Insights: AI identifies patterns, trends, and high-risk groups within a population through data analysis. These insights drive targeted interventions, resource allocation, and preventive care strategies, improving the overall health of the population