Sub Industry: Health Plans
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Revolutionizing Claims Operations with Gen AI-powered Multi-Agent Collaboration
Traditional claims processing often involves siloed systems and manual handoffs between different departments. This approach is not only time-consuming but also prone to errors and inefficiencies that are becoming increasingly costly as regulators and consumers demand greater accuracy, timeliness and transparency. It is time for claims operations to be revolutionized
Unlocking AI to Manage Impact of CMS Health Equity Index on Star Ratings
AI-based solutions help identify and engage underserved members and populations to enable health plans to excel under new reward factor In the current healthcare delivery environment, CMS Star Ratings have a direct impact on the financial success of Medicare Advantage and Part D prescription drug plans (MAPD) by influencing which
Identify inefficiencies with an MRI scan of your claims operations
What you don’t know about your operations workflows is likely hurting your business. Process mining in healthcare reveals the friction due to workarounds, manual activities, dead ends, handoffs, and disconnects that cost time and money – and points the way toward truly effective solutions for delivering improved experiences at lower
How to stop Medicaid member churn over undeliverable mail
Even in today’s digital-first world, the Department of Human Services (DHS) relies heavily on paper-based mail for public assistance programs such as Medicaid and Food Stamps. States routinely mail pre-populated renewal forms to enrollees who return them to the relevant agency to continue their benefits. Even before the pandemic, a
Digitally Empowered Customer Experience for Health Plans
In today’s unprecedented times, healthcare contact centers need to deliver fluid customer experiences through omnichannel platforms. Service associates must provide relevant and contextual information to assist customers and resolve their issues by leveraging cognitive technologies, advanced analytics, and data management tools with a human touch – all while ensuring compliance.
Visual IVR and Conversational AI: Game changers for healthcare contact centers
The global health crisis continues to change the way patients engage with healthcare organizations. It’s more important now than ever to consider the impact that improved patient experience can have on the bottom line. Traditionally, organizations have viewed the member experience as being limited to the clinical encounter. They are
COVID-19 Vaccination Digital Outreach and Engagement Services
Firstsource’s COVID-19 Vaccination Digital Outreach and Engagement Services enables Health Plans to bridge gaps in their member communication process for a seamless end to end vaccination experience.
Remote Patient Monitoring and Telehealth Services: Delivering care where and when it’s needed
The onset of COVID-19 combined with the move to value-based care is accelerating the adoption of Remote Patient Monitoring (RPM). Firstsource’s RPM solution offers uninterrupted care, preventing unnecessary hospital visits and hospital readmissions, thereby reducing administrative costs. It helps in monitoring patients proactively, providing the right reinforcement over their care
Global healthcare supply chain company improves TAT by 85%
The challenge: Improve turnaround time and reduce rejected invoices Our client, a private-equity owned healthcare business and data automation company, is on a mission to create an operationally efficient healthcare supply chain. Its technology-based platforms, analytics and solutions, bring industry players together, increasing efficiency and driving down costs across the
Global healthcare supply chain company sees 10X growth in processing volume of purchase orders
The challenge: Meet stringent quality and turnaround times to improve customer experience Our client, a private-equity owned healthcare business and data automation company, empowers healthcare organizations to enable better patient care and maximize industry savings using cloud-based supply chain technology exchange platform, analytics and solutions.. The client helps numerous hospitals
