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Payers Solutions

In today’s exceedingly complex healthcare environment, payers are facing a plethora of challenges—rising costs, increasing competition, regional variations in healthcare priorities, multiple stakeholders (clinicians, advisory bodies, regulators, charities) increasing consumerism, and much more. Through a three-pronged strategy, HCL offers the following solutions for healthcare payers:

Run the Business. Cost-effective solutions that ensure business as usual with consistent service delivery

  • ALT ASM™ - A six-sigma based approach to application support and maintenance, helps payers achieve a 30% cost saving over traditional approaches, through pre-built point solutions and utilities which drive down high volume incidents and service requests. Read more

  • FACETS™ - An industry-leading core administration platform that has been implemented by several payer organizations. HCL has heavily invested in building tools and accelerators around FACETS™ to enable faster time to market. Read more

Change the Business. Ensure that your organization stays ahead of your changing business environment

  • Analytics Based Member Experience Management – A 360 degree analytical approach to promote member engagement and ensure member centricity. Read more

  • Population Health Management – Chronic care management with interventions customized at member level. Read more

  • Fraud, Waste, and Abuse Management – Rule-based solutions to avoid pay and chase scenarios. Read more

  • ICD 10 Transformation - Services and tools around ICD 09 – ICD 10 transition that ensure continued alignment with the principles of financial and benefits neutrality. Read more

  • ICD 10 Testing - ICD testing solutions that help create a test strategy involving external and internal partners and ensuring financial and benefits neutrality. Read more

  • Legacy Transformation - Address payers’ challenges related to the maintenance of legacy systems with comprehensive services such as re-hosting, migration, and modernization. Read more

Transform the Business. Support emerging business models for healthcare payers, through the innovative use of technology aided by HCL’s Technology CoEs in:

  • Social Media Analytics - Optimize your social media strategy, execute social campaigns and generate insights through social listening and analytics while leveraging our expertise in these areas. 

  • Cloud Solutions - Gain through our cloud computing experience with cloud assessment, implementation and migration to private, public and hybrid clouds, and cloud operation services.

  • Analytics - Leverage our analytics expertise to drive business decisions around member acquisition and retention, chronic disease management, fraud management, and more. Read more

  • Mobility - Capitalize on our proven track record of conceptualizing and implementing mobile solutions across multiple platforms. Read more

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Member Experience Management Solution
Member Experience Management Solution
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