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.
Success stories.
Case study | Healthcare & Life Sciences | Payers
Next-Gen BPO Services for Fortune 25 Managed Care Organization.Case study | Healthcare & Life Sciences | Payers
Smart Claims application development and testing for a US-based Supplemental Health Insurance Provider.Case study | Healthcare & Life Sciences | Payers
Strategic Consulting and Process Optimization for Health Benefits Manager's Prior Auth and Product Roadmap.Case study | Healthcare & Life Sciences | Payers
Unified FHIR-compatible Payer Service for RCM Leader![Next-Gen BPO Services for Fortune 25 Managed Care Organization](https://www.coforge.com/hs-fs/hubfs/Next-Gen%20BPO%20Services%20for%20Fortune%2025%20Managed%20Care%20Organization.jpeg?width=600&height=800&name=Next-Gen%20BPO%20Services%20for%20Fortune%2025%20Managed%20Care%20Organization.jpeg)
Case study | Healthcare & Life Sciences | Payers
Next-Gen BPO Services for Fortune 25 Managed Care Organization.
![Smart Claims application development and testing for a US-based Supplemental Health Insurance Provider -2](https://www.coforge.com/hs-fs/hubfs/Smart%20Claims%20application%20development%20and%20testing%20for%20a%20US-based%20Supplemental%20Health%20Insurance%20Provider%20-2.jpeg?width=600&height=800&name=Smart%20Claims%20application%20development%20and%20testing%20for%20a%20US-based%20Supplemental%20Health%20Insurance%20Provider%20-2.jpeg)
Case study | Healthcare & Life Sciences | Payers
Smart Claims application development and testing for a US-based Supplemental Health Insurance Provider.
![Strategic Consulting and Process Optimization for Health Benefits Managers Prior Auth and Product Roadmap](https://www.coforge.com/hs-fs/hubfs/Strategic%20Consulting%20and%20Process%20Optimization%20for%20Health%20Benefits%20Managers%20Prior%20Auth%20and%20Product%20Roadmap.jpeg?width=600&height=800&name=Strategic%20Consulting%20and%20Process%20Optimization%20for%20Health%20Benefits%20Managers%20Prior%20Auth%20and%20Product%20Roadmap.jpeg)
Case study | Healthcare & Life Sciences | Payers
Strategic Consulting and Process Optimization for Health Benefits Manager's Prior Auth and Product Roadmap.
![Modernized the Enterprise Application from Monolith to Microservices for a leading RCM Company](https://www.coforge.com/hs-fs/hubfs/Modernized%20the%20Enterprise%20Application%20from%20Monolith%20to%20Microservices%20for%20a%20leading%20RCM%20Company%20.jpeg?width=600&height=800&name=Modernized%20the%20Enterprise%20Application%20from%20Monolith%20to%20Microservices%20for%20a%20leading%20RCM%20Company%20.jpeg)
Case study | Healthcare & Life Sciences | Payers
Unified FHIR-compatible Payer Service for RCM Leader
What we know.
Blog | Healthcare & Life Sciences | Payers
Healthcare Payer Industry Trends.Blog | Healthcare & Life Sciences | Payers
Coforge view on Connected Health on FHIR.Blog | Healthcare & Life Sciences | Payers
Coforge launches Authorization Rules Center (ARC) solution for healthcareBlog | Healthcare & Life Sciences | Payers
Cloud for Healthcare (Salesforce Health Cloud showcase)Blog | Healthcare & Life Sciences | Payers
8 ways Artificial Intelligence can harness the healthcare data explosionBlog | Healthcare & Life Sciences | Payers
Pandemic-sized collaboration transforms the 3 Ps of HealthcareBlog | Healthcare & Life Sciences | Payers
IoT Data Analytics – Cross Industry Perspectives-![Health Insurance Payer Trends](https://www.coforge.com/hs-fs/hubfs/Health%20Insurance%20Payer%20Trends.jpeg?width=600&height=800&name=Health%20Insurance%20Payer%20Trends.jpeg)
Blog | Healthcare & Life Sciences | Payers
Healthcare Payer Industry Trends.
![Coforge view on Connected Health on FHIR](https://www.coforge.com/hs-fs/hubfs/Coforge%20view%20on%20Connected%20Health%20on%20FHIR.jpeg?width=600&height=800&name=Coforge%20view%20on%20Connected%20Health%20on%20FHIR.jpeg)
Blog | Healthcare & Life Sciences | Payers
Coforge view on Connected Health on FHIR.
![Coforge launches Authorization Rules Center (ARC) solution for the healthcare industry. (1)](https://www.coforge.com/hs-fs/hubfs/Coforge%20launches%20Authorization%20Rules%20Center%20(ARC)%20solution%20for%20the%20healthcare%20industry.%20%20(1).jpeg?width=600&height=800&name=Coforge%20launches%20Authorization%20Rules%20Center%20(ARC)%20solution%20for%20the%20healthcare%20industry.%20%20(1).jpeg)
Blog | Healthcare & Life Sciences | Payers
Coforge launches Authorization Rules Center (ARC) solution for healthcare
![Driving cloud based patient engagement in Healthcare](https://www.coforge.com/hs-fs/hubfs/Driving%20cloud%20based%20patient%20engagement%20in%20Healthcare.jpeg?width=600&height=800&name=Driving%20cloud%20based%20patient%20engagement%20in%20Healthcare.jpeg)
Blog | Healthcare & Life Sciences | Payers
Cloud for Healthcare (Salesforce Health Cloud showcase)
![8 ways Artificial Intelligence can harness the healthcare data explosion](https://www.coforge.com/hs-fs/hubfs/8%20ways%20Artificial%20Intelligence%20can%20harness%20the%20healthcare%20data%20explosion.jpeg?width=600&height=800&name=8%20ways%20Artificial%20Intelligence%20can%20harness%20the%20healthcare%20data%20explosion.jpeg)
Blog | Healthcare & Life Sciences | Payers
8 ways Artificial Intelligence can harness the healthcare data explosion
![Pandemic-sized collaboration transforms the 3 Ps of Healthcare (1)](https://www.coforge.com/hs-fs/hubfs/Pandemic-sized%20collaboration%20transforms%20the%203%20Ps%20of%20Healthcare%20(1).jpeg?width=600&height=800&name=Pandemic-sized%20collaboration%20transforms%20the%203%20Ps%20of%20Healthcare%20(1).jpeg)
Blog | Healthcare & Life Sciences | Payers
Pandemic-sized collaboration transforms the 3 Ps of Healthcare
![IoT Data Analytics – Cross Industry Perspectives-1](https://www.coforge.com/hs-fs/hubfs/IoT%20Data%20Analytics%20%E2%80%93%20Cross%20Industry%20Perspectives-1.jpeg?width=600&height=800&name=IoT%20Data%20Analytics%20%E2%80%93%20Cross%20Industry%20Perspectives-1.jpeg)
Blog | Healthcare & Life Sciences | Payers
IoT Data Analytics – Cross Industry Perspectives-
Our credentials.
100+
HCLS Engagements
500+
Healthcare Tech & Process specialists
40+
Solution accelerators
20+
Strategic Partnerships
Our technology partners.
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Connect with our experts.
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WHAT WE DO.
Explore our wide gamut of digital transformation capabilities and our work across industries.
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