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Reimagine your health plan operations

Healthcare
Health plans

Stay future-ready in every moment

The shift toward a smarter world has no signs of slowing down. From the rapid adoption of telehealth to delivering hyper-personalized, on-demand experiences, healthcare organizations that adopt new digital technologies and automation will keep pace. But to lead the industry, you’ll need to continuously reimagine and optimize how you operate.

We help health plans stay future-ready in every moment by harnessing the power of people-powered data, analytics, and AI-driven operating models. Equipped with smart, responsive solutions, you’ll deliver the personalized, seamless experiences your stakeholders expect today – and keep the lead while those needs change over time. The result? Better experiences and better outcomes across every moment.

Stay Ahead with Firstsource

up to 50%

reduce administrative cost

up to 40%

accelerate speed to proficiency

up to 50%

reduce time to transition

up to 95%

reduce time to training

Harness the power of data, analytics and AI to stay ahead of change

AI-First Health Plan Operations

Make informed decisions in real-time. Optimize your operations for cost, speed and experience.

Personalized Member Engagement

Enable the seamless, personalized care & experiences health consumers expect.

Financial Analytics & Management

Optimize financial performance while delivering high-quality care to your members.

  • Risk Adjustment
  • Overpayment Collections
  • Payment Integrity
  • Independent Dispute Resolution

Quality Management, Reporting and Compliance

Ensure optimal outcomes and regulatory adherence.

  • STAR, HEDIS, CAHPS Tracking and Management
  • Internal and External Reporting
  • Compliance Oversight
  • CMS, State, NCQA, URAC Audit Support

Explore Insights