Industries

Delivering on digital’s potential in healthcare

The high cost of care and the need for significant improvements in clinical efficiency

The inability to connect disparate EHR systems and leverage the wealth of other data sources in the health ecosystem to improve outcomes

Complying with industry regulations and evolving standards

The integration of new digital capabilities with payers’ and providers’ existing IT infrastructure

Physician burnout due to overscheduling, growing patient demands and too many administrative tasks

Sales & Marketing

Broker Management Increasing transparency and elevating broker service levels

Sales Management Enhancing visibility and collaboration to unlock productivity

Sales/Channel Analytics Leveraging insights to drive more informed decisions

Member Management

Member Orchestration Guiding seamless omni-channel member journeys

Member Enrollment Streamlining member onboarding

Fraud Analytics & Prevention Protecting payors and their members

Compliance

Quality HEDIS/STARS Ensuring compliance and streamlining data-sharing requirements

Medical Management

Wellness & Outreach Automated outreach programs to promote health improvements and cost savings

Care & Utilization Management Guiding patient care decisions for better health outcomes

Virtual Care Enabling virtual and remote care to improve access and support preventative care across the patient lifecycle

Condition Management Assisting payer, provider and patient decision-making related to treatment efficacy and efficiency

Customer Service

Provider Engagement Involving providers to improve clinical outcomes, member retention and overall efficiency

Member Engagement Leveraging digital tools, platforms and data across the member lifecycle to enhance engagement and improve outcomes

Enterprise Reporting & Analytics Harnessing the power of advanced analytics and artificial intelligence

Proactive Outreach & Scheduling Driving better adherence to care plans, and prompting preventative action and maintenance

Benefits, Provider & Claims

Benefits Management & Pricing Integrating member management and claims processing from claims receipt to claims payments

Provider Data Management Automating the collection, consolidation and publishing of provider information

Claims Intake Improving claims processing speed, accuracy and auto-adjudication rates

Claims Audit & Reporting Ensuring payment accuracy and efficiency

Payment Integrity Accelerate the application of AI and ML to expand automation and minimize fraud

Outpatient & Ancillary Services

Virtual Care Supporting interactive provider and self-care experiences for patients to manage medications, conditions, vitals and symptoms

Remote Patient Monitoring Increasing care access and supporting preventative and personalized care delivery

Demand Planning & Scheduling Forecasting patient needs to provide health services delivered more efficiently and effectively

Inpatient Services

Patient Monitoring Remote on-site monitoring and alerts to protect patients and enhance their experience

Care Management & Coordination Providing a unified view of patient health and actionable insights to improve health outcomes

Diagnosis & Prevention Leveraging smart technologies to help physicians process patient information and data

Patient Management

Patient Portal Enabling secure 24/7 access to care information, communication and resources

Outcome Analysis Evaluating the clinical and economic impact of different treatments and care regimens

Patient Engagement Encouraging and helping patients to make informed decisions about their own health

Sales & Marketing

Interoperability Connecting systems to improve provider visibility, support patient access and support more accurate payments

Visualization & Reporting Allowing users to easily obtain qualitative insights, patterns and trends via intuitive dashboards and self-service BI

Revenue Cycle Management

Price Transparency Ensuring compliance with new regulations and providing clear visibility to patients and providers