Healthcare Payer Solutions | Process Optimization and Automation

Increase member growth and retention, deliver better care, and reduce care costs

Payer focus areas

Member experience
Health outcomes
Cost of care (admin and clinical)
Operational efficiencies
Business and new channels of growth

Our offerings

Legacy modernization and cloud migration
Data foundation and one source of truth
Clinical, financial, and operational analytics
Value-based care and population health management
Interoperability
Digital front door
Cloud for better collaboration and scale
Intelligent automation across Payer value chain
Digital transformation and innovation
Core admin platform services
Virtual health solutions

Mindtree partnership advantage

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Payer focus areas

Member experience
Health outcomes
Cost of care (admin and clinical)
Operational efficiencies
Business and new channels of growth

Our offerings

Legacy modernization and cloud migration
Data foundation and one source of truth
Clinical, financial, and operational analytics
Value-based care and population health management
Interoperability
Digital front door
Cloud for better collaboration and scale
Intelligent automation across Payer value chain
Digital transformation and innovation
Core admin platform services
Virtual health solutions

Mindtree partnership advantage

Technology leadership
Strategic consulting and consultative approach to engagements
Best practices from cross industry experience
Bestshore delivery model
Extended ecosystem partnership

Our Service Offerings

Member Communication, Acquisition, Retention, and Engagement (CARE)

Customer acquisition, retention, and engagement insights and actionable analytics and decisioning (Member and Provider)

Healthcare Interoperability

Meet compliance deadlines and future proof through data curation, FHIR conversion, APIs, consent, and security services.

Process Optimization and Automation

Groundbreaking, fast, low cost, and data-driven optimization approach to accelerate decision-making and value realization.

Core Administrative Platforms

Modern, cloud-based platform for eligibility, enrollment, membership, billing, product/benefit management, and claims.

Quality Engineering

End-to-end solutions for digital assurance, connected health, BAT, UAT, NFR, security, compliance, and automation.

Alliances

Expert Thinking in Action

Case Study

Transformed patient engagement at a medical benefits company

Transformed patient engagement using Salesforce Health Cloud to create a Consumer360 view, launch the new online community, and ensure timely access to care.

Case Study

Modernized policyholder mobility solutions for a supplemental insurance provider

Simplified and streamlined claims process using advanced technology frameworks resulting in a 70% reduction in maintenance and support costs per year.

Member-Engagment-transformation-for-regional-blues-plan

Case Study

Member engagement transformation for a regional blues plan

Salesforce Marketing Cloud support, email campaigning, and user journeys along with secure eMessaging, real-time reports, and dashboards.

Insights

healthcare-payers-transformation-salesforce-webinar

Executive Discussion Series

CRM to drive consumer-experience transformation for Healthcare Payers

Alternate care models and the need for better consumer experience is positioning CRM to reduce complexity, technical debt, and increase interoperability.

Blog

Can inclusivity help deliver better healthcare experiences and outcomes?

Break the silos and upgrade the ecosystem to enable preventative care, early detection, and cure of diseases, and pave the path to reduce overall spend.

Point of view

Resilient and agile digital transformation in the healthcare industry

The events of the past year have taught us that resiliency along with speed is crucial to address the quadruple aim.

Capabilities for healthcare payers

End-to-end solutions across the