Amplify Health Insurance Value Chain, Efficiencies, and Scale.

The world for payers and PBMs continues to evolve rapidly with competitive market consolidations, ever-changing regulations and payment reforms, operational cost pressures, blurring lines between payers and providers, heightening consumerism and growing technical debt.

Improving health outcomes, pricing transparency and member experiences, as well as balancing growing membership and population health risk while seamlessly yet cost-effectively scaling operations and complying with regulations continue to be key business drivers.

Coforge, with its breadth and depth of technical capabilities, business process services and domain knowledge, can help health insurance organizations:

• Drive digital transformation, data-driven decision making and interoperability for compliance and competitive differentiation including UM/CM/A&G and Contact Center transformation
• Improve operational efficiencies and experiences leveraging process automation and AI
• Optimize IT operations through rationalization, modernization and move to cloud
• Focus on core high value initiatives by outsourcing non-critical commoditized operations
• Set up Global Capability Centers (Build, Operate, Transfer / Scale)

Our health insurance team brings thought leadership, operational excellence, cross-industry best practices and unbiased technology expertise to accelerate your transformational efforts. Reach out to us for more information.