Medicare Advantage

With a deep understanding of HMO, FFS, PPO and POS plans, Capgemini helps payers reduce costs, improve business processes and gain efficiencies.

Client Challenges Today

The health insurance industry is facing significant economic and competitive challenges and a demanding regulatory climate. Health payers are focused on generating revenue growth and reducing operational cost and complexity across all programs including the Medicare Advantage and prescription drug plans (Medicare Part D).

Solution and How We Work

Capgemini delivers measurable business results across all the Medicare Advantage business functions through a diverse and comprehensive portfolio of service offerings. We are the first fully integrated technology and operations firm enabling our clients to optimize their business through a combination of process investment strategies, technology leverage, and business process outsourcing and provisioning.
The combination of technology expertise with operations capabilities to deliver value to our customers applies highly efficient operational solutions that directly impact our customers business KPIs. Our comprehensive expertise in leading vendor packages and platforms, coupled with a deep understanding of HMO, FFS, PPO and POS plans in the Medicare Advantage and Part D markets helps payers reduce administrative costs, improve business processes and gain efficiency while delivering value to their members.

Why Capgemini?

Our unique business outcomes-based approach coupled with our exemplary track record for improving critical operations, managing key projects, implementing change and delivering results, make our Medicare Advantage offerings an excellent match for players operating in this space.
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Powiązane treści

World InsurTech Report 2020

The World InsurTech Report 2020 from Capgemini and Efma explores the changing business dynamics of the insurance industry – from the global pandemic underscoring the need for business resilience to BigTechs setting new standards for customer experience. The report highlights the need for insurers to adopt a new mindset and collaborate with ecosystem partners to innovate and build new capabilities that meet the digital needs of customers.