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Automation
Payer
Transforming Healthcare Payer Operations with Intelligent Automation
Healthcare payers face mounting challenges as they strive to meet regulatory requirements, manage costs, and maintain quality service. Regulatory changes and the recalibration of Star ratings by CMS directly impact revenue streams and reputational standings. Meanwhile, healthcare costs continue to rise due to medical inflation and increased service demand, putting further strain on operational budgets. […]
Case Studies
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Automation
Payer
Quality Assurance
Accelerating Quality and Efficiency: A QA Transformation Journey for a Leading Health Plan
Challenge A prominent health plan serving millions of members faced multiple, interrelated challenges that were impacting its efficiency and profitability. Key among these was a lengthy end-to-end (E2E) and user acceptance testing (UAT) cycle that extended up to eight weeks per release. This drawn-out testing period meant the health plan could only manage three production […]
Case Studies
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Automation
Payer
Transforming Operations with Intelligent Automation for a Leading Health Plan
Challenge A leading health plan with millions of members faced significant operational inefficiencies due to manual processes across multiple departments. These inefficiencies were time-consuming, hindered service quality, and negatively impacted the organization’s bottom line. Key areas such as Claims, Care Management, Enrollment & Billing, and Pharmacy Benefit Management were experiencing bottlenecks, leading to delays, higher […]
Blog
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Automation
Automation: From a Nice-to-Have to a Necessity in Healthcare’s Digital Transformation
Intelligent automation like robotic process automation (RPA), machine learning (ML) and artificial intelligence (AI) have the power to shift employees from data routers to critical-thinking humans, with newfound capacity for high-value tasks and patient care that demands a human touch. Healthcare organizations understand how automation can irreversibly change how they work. In 2020, 90% of […]
Blog
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Automation
Intelligent Automation: Healthcare’s New Essential Coworker
The future of healthcare relies on removing the robot from the human to focus on what matters most – the patient experience and mission-critical work of delivering care. Administrative processes are the backbone of healthcare operations, but they’re inefficient, error-prone, and limit employee capacity. No industry stands to experience more return on investment from automation […]
Blog
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Automation
Provider
Robotic Process Automation for Healthcare: The What, Why & How – 2024 Edition
We live in a world where computer time is eclipsing face-time. Where technology, tools and regulations that were supposed to make us more efficient at times seem to bog us down. Where the use of our “human” brain isn’t always saved for the more complex or personal tasks required of us. The benefits of using robotic […]