In the era of modernized consumer-driven health care and rising healthcare costs, it’s more important than ever to stay closely connected to the provider community. Coordinated care and timely information flow are absolutely essential for managing the balance between efficient health care services and related costs.
For most health payers today, viewing provider and case data means accessing multiple systems. This increases the time and complexity to resolve provider cases and limits visibility into provider issues until there is an external or serious escalation. Using Customer Process Manager for Healthcare from Pegasystems®, Capgemini’s integrated provider and network management solution eliminates many of these issues. Our solution encourages collaboration between groups handling cases, giving users a 360° view of provider information and supporting enterprise-wide reporting. The integrated solution replaces disparate applications you may be using to record provider and case-related data, lowering maintenance costs and eliminating complicated search modules to retrieve provider and case information.