Reimagine business process using payer digital managed services
Healthcare payers are disrupted by various factors like rising cost, uncertain regulatory environment, operational inefficiencies and lack of flexibility in core systems which are hampering their digital transformation efforts. Health plans and TPAs strive to improve operational performance, increase auto-adjudication and first pass rate to remain competitive, reduce costs and be compliant with the regulatory mandates.
Hexaware’s solutions helps payers in re-imagining and reengineering their business processes, using a unique combination of intelligent automation, digital technologies, design thinking and agile approaches. We call this engagement model as Digital Managed Services(DMS). Our accelerators, industry best practices, and engagement model help payers & TPAs to increase auto-adjudication and first pass rate and deliver automation enabled value, without any fear of revenue cannibalization.
Hexaware takes on the operation of a payer business process, learns and progressively automates, while guaranteeing target state savings, right from the start of the relationship.