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Payers

The healthcare payer industry is going through a major upheaval in the way business is conducted. The regulatory changes in the recent past and the adoption of a consumer centric approach in the immediate future makes this a challenging period for the IT Business leaders in the industry. On one hand there is the need to adopt newer technologies and approaches to manage the expectation that comes with the shift to a consumer centric model while on the other hand there is the pressure to ensure that the business runs as usual on a perpetually reducing budget. This changing business landscape of the healthcare payer industry creates undue pressure on your IT organization and HCL can help your organization to Gain with Change.

What we can do for you

HCL has invested considerable capital in building a uniquely qualified payer solutions team with decades of industry experience, technology expertise and domain expertise. Additionally, HCL’s customer focused innovative approach drives us to invest a substantial portion of our revenues into industry specific RD, resulting in sustainable and innovate solutions that create customer value. Know more information on our solutions for the healthcare payer segment here.

Our three pronged strategy for Payers include:

  • Run the Business: Cost effective solutions that ensure Business as Usual and Consistent Service Delivery
    • ALT ASM™: A six-sigma based approach to Application Support and Maintenance that provides a 30% cost saving over traditional approaches, through pre-built point solutions and utilities which drive down high volume incidents and service requests

  • Change the Business: Ensure that your organization stays abreast of the changing business needs through HCL's suite of solutions:
    • Analytics based Member Experience Management: A 360 degree analytical approach to promote member engagement and ensure member centricity

    • Population Health Management: Chronic care management with interventions customized at member level

    • Fraud, Waste and Abuse Management: Rule based solutions to avoid pay and chase scenarios

    • ICD Transformation: Services and tools around ICD 09 – ICD 10 transition that ensure continued alignment and consistency with principles of financial and benefit neutrality

    • ICD Testing: ICD testing solutions that help in creating a test strategy involving external and internal partners and ensuring benefit and financial neutrality

    • Legacy Transformation: Address challenges related to the maintenance of legacy systems with comprehensive services including re-hosting, migration and modernization

    • Care Monitor: Enabling a reduction in the 30-day patient readmission rates through regular post-discharge follow-ups on medication, health check and appointments

  • Transform the Business: Support the emerging business models through the innovative use of technology aided by HCL’s Technology CoEs on:
    • Social Media Analytics: Leverage HCL’s expertise to optimize your social media strategy, execute social campaigns and generate insights through social listening and analytics

    • Cloud Solutions: Gain through HCL’s expertise on Cloud computing through its Cloud Assessment, Implementation Migration to Private, Public and Hybrid Clouds, and Cloud Operations services

    • Analytics: Leverage HCL’s analytics expertise to drive business decisions around member acquisition and retention, chronic disease management, fraud management, etc.

    • Mobility: Capitalize on HCL’s proven track record of conceptualization and implementation of mobile solutions across multiple platforms

Our Healthcare Strategy

Our Healthcare Strategy

For more information, write to us at: contact.lsh@hcl.com

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We will treat any information you submit with us as confidential. Please read our privacy statement for additional information.