Healthcare industry is rapidly growing across the globe. However, participants within the industry, especially Healthcare Payer organizations, must ensure compliance with a multitude of regulations to avoid potential penalties.
In order to remain competitive in an industry characterized by dynamic growth and complex regulations, Payer organizations need to focus on meeting the following challenges:
- Better customer service
- Compliance to state specific regulation
- Cost optimization and increase in top-line profit
- Continuous improvement in claim disbursement ratio
- Affordable healthcare plans
- Smooth transition from ICD 9 to ICD 10 code
- Improved Medical Loss Ratio (MLR)
To address these challenges, Payer organizations need to adopt an integrated approach to efficiently manage business processes, maintain and utilize member / provider information, foster enhanced outbound / inbound communication, and comply with regulations. A combination of Business Process Management (BPM), Enterprise Content Management (ECM), and Customer Communication Management (CCM) would serve as an ideal platform to build solutions for automation of key Payer processes.
Newgen’s Healthcare Payer Solution
Newgen's solution framework enables healthcare organizations to effectively address the challenges originating from regulatory compliance, cost control, and customer satisfaction. Our Healthcare Process Automation & Optimization Suite combines the power of Imaging, Document Management, Business Process Management, and Member / Provider Communications Management, to render solutions built to address the specific requirements of Healthcare Payers.
Newgen Solution- Component Framework
Integrated Product Suite