Solutions for Healthcare Payers

HCLTech rated as a Leader in ISG Provider Lens™ - Healthcare Digital Services, U.S. 2023

Overview

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.

Contact us

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.