Harness data, AI & automation to elevate pop health, care & utilization management outcomes.
Industry research demonstrates the importance of social determinates of health and concerns around health equity and cost of care grow, the need for improved population health increases. Population health programs not only control costs but ensure people live long healthy lives. Ensuring that clinical programs such as care / disease management and utilization management are modernized and leveraging the latest technologies is key to success. Advances in technology also create new opportunities to infuse population health principles in all areas of the business.
Coforge, with its breadth and depth of technical capabilities and industry domain knowledge in care management and utilization management, can help payers:
- Drive speed to market by leveraging agile digital experience & transformation of CM/UM and pop health programs
- Safely apply AI to reduce friction in processes like Utilization Management and increase engagement in health maintenance programs
- Manage “big data” and create insights to truly understand the population you serve
- Quickly adapt to change by adopting modern architectures, and interoperability
- Scale professional services and customer support capabilities globally
Our healthcare & life sciences team brings thought leadership, operational excellence, cross-industry best practices and unbiased technology expertise to accelerate your transformational efforts and speed to value. Reach out to us for more information.
Success stories.
Case study | Healthcare & Life Sciences | Payers
Strategic Consulting and Process Optimization for Health Benefits Manager's Prior Auth and Product RoadmapCase study | Healthcare & Life Sciences | Payers
Smart Claims application development and testing for a US-based Supplemental Health Insurance ProviderCase study | Healthcare & Life Sciences | Payers
Contact Center Modernization for Top Pharmacy Benefit ManagerCase 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
Smart Claims application development and testing for a US-based Supplemental Health Insurance Provider
Case study | Healthcare & Life Sciences | Payers
Contact Center Modernization for Top Pharmacy Benefit Manager
What we know.
Blog | Healthcare & Life Sciences | Payers
Top Healthcare Payer Trends to Watch in 2024News | Healthcare & Life Sciences | Payers
Coforge launches Authorization Rules Center (ARC) solution for the healthcare industryBlog | Healthcare & Life Sciences | Payers
Coforge view on Connected Health on FHIRBlog | Healthcare & Life Sciences | Payers
Driving cloud-based patient engagement in healthcareBlog | 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
Gen AI powered Member Engagement using Coforge Patient Virtual Access AgentBlog | Healthcare & Life Sciences | Payers
Streamlining Contracts & eConsent with Coforge Intelligent Content Engagement & eConsent (ICE)Blog | Healthcare & Life Sciences | Payers
Simplifying utilization Management & CMS ePA Compliance with Coforge Authorization Rules CenterBlog | Healthcare & Life Sciences | Payers
Top Healthcare Payer Trends to Watch in 2024
News | Healthcare & Life Sciences | Payers
Coforge launches Authorization Rules Center (ARC) solution for the healthcare industry
Blog | Healthcare & Life Sciences | Payers
Coforge view on Connected Health on FHIR
Blog | Healthcare & Life Sciences | Payers
Driving cloud-based patient engagement in healthcare
Blog | Healthcare & Life Sciences | Payers
8 Ways Artificial Intelligence Can Harness the Healthcare Data Explosion
Blog | Healthcare & Life Sciences | Payers
Pandemic-sized collaboration transforms the 3 Ps of Healthcare
Blog | Healthcare & Life Sciences | Payers
Gen AI powered Member Engagement using Coforge Patient Virtual Access Agent
Blog | Healthcare & Life Sciences | Payers
Streamlining Contracts & eConsent with Coforge Intelligent Content Engagement & eConsent (ICE)
Blog | Healthcare & Life Sciences | Payers
Simplifying utilization Management & CMS ePA Compliance with Coforge Authorization Rules Center
WHAT WE DO.
Explore our wide gamut of digital transformation capabilities and our work across industries.
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