The COVID crisis is amplifying digital innovation to historic levels. Health Plans that transform their business to meet the shifting demands of the healthcare market will outperform those that don’t. In this dynamic market, we help you envision an ecosystem that redefines service excellence and delivers the moments that matter.
Our carefully crafted digital-first services help you drive continuous care and a consistent experience, while closing the care gaps and reducing clinical costs. We adopt an omnichannel customer service strategy, leveraging technologies such as Conversation AI, Visual-IVR, Cognitive Bots, and Voice Biometrics, to empower associates and stakeholders with contextual information. The result: a seamless digital patient experience across all channels.
Telehealth
Seamlessly scale telehealth to meet surging demand
Build the technology and analytics foundation to realize full potential
COVID-19 has massively accelerated telehealth adoption. Scaling telehealth services to meet this uptick in demand requires a strong technology backbone that integrates telehealth systems with existing technology systems.
We offer first-line technical setup, knowledge associates and ongoing support, to reduce the risk and complexity of establishing and maintaining a robust and reliable telehealth architecture. As part of our offering, we ensure the availability of necessary devices and connectivity, and drive engagement and familiarization initiatives to increase adoption. Our end-to-end services span Consultation, Healthcare Experience, Quality assurance and Ongoing support.
Reduce distribution costs by over 50%
Slash interoffice transportation and real estate costs
Digital-first solutions to deliver value-based care
Revamp care delivery in a post-COVID world
As virtual care solutions gain traction in the post-pandemic era, remote patient monitoring helps improve outcomes for health conditions that require constant monitoring. Remote Patient Monitoring (RPM) integrated with an alert system notifies Providers about patients in stable condition, cutting down on hospital and emergency room visits and lowering costs.
We draw upon our expertise in patient outreach and remote patient monitoring to deliver a consumer-driven, high-tech and high-touch approach that provides personalized and frequent communication. Our RPM solutions constantly feed Providers with patient information while empowering patients to engage in self-care and communicate with clinicians outside standard business hours.
Enable fast, seamless communication to elevate quality of care and patient satisfaction
Make it easy for your patients to access care. We augment your patient outreach and scheduling services with AI/ML models and on-demand apps, improving the efficiency of virtual visits and care delivery. Our omnichannel CRM platforms provide a 360-degree view of the patients and include diagnosis-specific follow-up protocols to promote treatment plan adherence and improve outcomes across multiple touchpoints – at the point of care as well as during and after care. The platform harnesses Conversational AI to provide associates with actionable insights during customer interactions, improving outcomes.
Assess the quality of care.
Bridge the gap with intelligent patient engagement
HEDIS Performance Measures and STAR Rating support
Collect and track Pay for Performance (P4P) data to not only improve quality but also health outcomes. Our STAR and HEDIS Quality Programs are designed to effectively track quality measures, and identify and close gaps in care delivery. Our analytics-enabled solution gathers a holistic view of patient data, identifies gaps in care delivery, and proactively resolves member issues through timely outreach.
Intelligent medical record retrieval from Providers offices
Provider outreach
Tracking of HEDIS and STAR measures and submission of encounter reports to CMS
Digital solution for appointment scheduling, reminders and appointment conversion rates
Prescription refill and medication adherence programs for Members
Take a high-tech, high-touch approach to boost medication adherence
Optimize refill-reminders and promote digital patient engagement
Poor medication adherence is one of the most pressing public health challenges today, creating a vicious cycle of deteriorating health outcomes and spiraling healthcare costs. It’s important to address the potential barriers to medication adherence – financial burden, purchasing behaviors, demographics, household stability, drug, physician or health plan related issues, comorbidities and so on – with a customized and patient-centric approach.
We integrate our in-depth domain knowledge with AI/ML classification models and Intelligent Automation to develop a deeper understanding of every patient’s needs and their unique barriers to care. Our unique digital engagement solution is based on the holistic 3P Framework (Prevent, Predict, Process). It leverages AI/ML-based classification of patient patterns to map the patient journey and send proactive, personalized refill alerts. In the process, we engage patients, Providers, and community pharmacists with interactive videos, live coaching, self-administration, pain management and so on to improve adherence.
Seamlessly scale telehealth to meet surging demand
Build the technology and analytics foundation to realize full potential
COVID-19 has massively accelerated telehealth adoption. Scaling telehealth services to meet this uptick in demand requires a strong technology backbone that integrates telehealth systems with existing technology systems.
We offer first-line technical setup, knowledge associates and ongoing support, to reduce the risk and complexity of establishing and maintaining a robust and reliable telehealth architecture. As part of our offering, we ensure the availability of necessary devices and connectivity, and drive engagement and familiarization initiatives to increase adoption. Our end-to-end services span Consultation, Healthcare Experience, Quality assurance and Ongoing support.
Reduce distribution costs by over 50%
Slash interoffice transportation and real estate costs
Digital-first solutions to deliver value-based care
Revamp care delivery in a post-COVID world
As virtual care solutions gain traction in the post-pandemic era, remote patient monitoring helps improve outcomes for health conditions that require constant monitoring. Remote Patient Monitoring (RPM) integrated with an alert system notifies Providers about patients in stable condition, cutting down on hospital and emergency room visits and lowering costs.
We draw upon our expertise in patient outreach and remote patient monitoring to deliver a consumer-driven, high-tech and high-touch approach that provides personalized and frequent communication. Our RPM solutions constantly feed Providers with patient information while empowering patients to engage in self-care and communicate with clinicians outside standard business hours.
Enable fast, seamless communication to elevate quality of care and patient satisfaction
Make it easy for your patients to access care. We augment your patient outreach and scheduling services with AI/ML models and on-demand apps, improving the efficiency of virtual visits and care delivery. Our omnichannel CRM platforms provide a 360-degree view of the patients and include diagnosis-specific follow-up protocols to promote treatment plan adherence and improve outcomes across multiple touchpoints – at the point of care as well as during and after care. The platform harnesses Conversational AI to provide associates with actionable insights during customer interactions, improving outcomes.
Assess the quality of care.
Bridge the gap with intelligent patient engagement
HEDIS Performance Measures and STAR Rating support
Collect and track Pay for Performance (P4P) data to not only improve quality but also health outcomes. Our STAR and HEDIS Quality Programs are designed to effectively track quality measures, and identify and close gaps in care delivery. Our analytics-enabled solution gathers a holistic view of patient data, identifies gaps in care delivery, and proactively resolves member issues through timely outreach.
Intelligent medical record retrieval from Providers offices
Provider outreach
Tracking of HEDIS and STAR measures and submission of encounter reports to CMS
Digital solution for appointment scheduling, reminders and appointment conversion rates
Prescription refill and medication adherence programs for Members
