Solutions for Healthcare Payers | HCLTech
MedTech Solutions

Optimizing Data-driven Insights and Innovative Digital Solutions

Technological advancements, changing customer preferences, regulatory and competitive environments and the need to reimagine healthcare delivery are creating pressure for healthcare payers to transform.

Digitization, process automation, application and data modernization and omnichannel experience remain essential.

A move towards a member-centric, outcome-based model while complying with new regulatory and financial frameworks is the key to success.

Healthcare payers and pharmacy benefit managers can leverage data interoperability, stakeholder engagement and digital transformation to deliver optimal care and increase member retention.

At HCLTech, we work collaboratively with leading health plans to enhance member satisfaction, reduce care costs, improve healthcare experiences and achieve better outcomes through data-driven insights and innovative digital solutions.


Our Solutions for Healthcare Payers

Accelerate adoption of new technologies in your enterprise

With pressures to reduce cost, you can’t afford to waste money on technologies that aren’t implemented and rolled out effectively.

Tap into our global team of product engineers that can deliver results at scale and help accelerate adoption of impactful technologies like cloud, cybersecurity, data science and more to rapidly realize your return on your IT investments.

Improve your customer experiences

The health insurance industry has witnessed one of the lowest Net Promoter Scores (NPS) due to lack of transparency, personalization and sophisticated digital capabilities.

Drive unparalleled customer experiences by leveraging automation and cutting-edge technologies to facilitate seamless collaboration and coordination. Our solutions address the 360-degree needs of members, providers, employers and brokers.

Maintain regulatory compliance

Many health plans struggle with remaining compliant to regulatory requirements and responding to new regulations in a timely manner due to archaic legacy systems and security controls.

Implement robust data security measures and electronic recordkeeping systems that align with industry standards and privacy regulations. We can help you leverage AI-powered tools to conduct audits, analyze claims data and monitor transactions, facilitating proactive identification of compliance issues and timely corrective actions.

Manage commercial, Medicare and Medicaid markets

Every health system has different requirements that are often not compatible with a single solution.

Manage IT platforms for health plans across commercial, Medicare and Medicaid (MMIS) domains through strategic digital adoption.

Improve health outcome with integrated care experience

Care fragmentation and lack of real-time data exchange across health ecosystem result in poor engagement and health outcomes for members.

Our healthcare interoperability, value-based care, prior authorization automation and holistic health solutions will help health plans deliver connected health experiences through proactive member engagement, real-time integration and collaboration with providers and plan benefit managers.

Increase accessibility and affordability

The acceptance of virtual care and national scrutiny around equitable care has created demand for services that improve access to care at an affordable cost.

Our digital health solutions for virtual care, remote patient monitoring and home health enable health plans to improve accessibility and convenience for their members. Our health equity, analytics and reporting solutions help health plans lay the foundations for equitable care for their members.

HCLTech’s Digital Core

As we have since our beginnings in the 1970s as a plucky tech start-up, we understand that great outcomes begin with a strong foundation of curiosity, knowledge and ingenuity.

Our digital core is built upon the fundamentals of a strong consultative approach, an eye on business outcomes and a drive to supercharge progress for our clients in everything we do.

Powering the future of intelligent insights and data-driven decision-making, our digital and analytics team will help you unlock the full potential of your data, propelling your business forward to a successful future.

Data and Analytics

Connecting people, processes, things and data, our ‘Define, Build and Run’ offerings and IoT solutions cater to the unique needs of your organization, no matter where you are on your IoT adoption journey.

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Elevate the user experience you're delivering, boost uptime and eliminate tech debt with HCLTech’s application services. See around the corner to achieve enterprise-level operational resilience.

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DRYiCE focuses on leveraging AI and cloud to build products for transforming and simplifying your IT and business operations.

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Our infrastructure management services carry some of the most impressive credentials in the IT vendor landscape. We have not only executed complex global IT transformation exercises but also run efficient IT services for over 300 of the world’s leading companies.

Digital Foundation

HCLTech’s engineering and R&D services combine the technological depth and solution-driven approach required to consistently deliver the results you need in today's competitive landscape. From product blueprinting to support, and from software/hardware to mechanical, we work with over half of the top 100 R&D engineering companies around the world.


HCLTech Digital Process Operations (DPO) digital services and solutions is reimagining the role of technology, from being a driver of marginal efficiency to enabling digital innovation and fueling business performance.

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