Pegasystems, a dealer in business process management solutions, claimed that it will be helping Health Net achieve new value and efficiencies across its operations. Its healthcare solutions for claims, care management and customer service will help realize controlled and rapid transformation in step with the demands of healthcare reform.
Health Net claimed that its health plans and government contracts subsidiaries provide health benefits to approximately 6 million individuals across the country through group, individual, Medicare, Medicaid and TRICARE and Veterans Affairs programs.
For healthcare providers, Pega solutions streamline and improve admissions, scheduling and provider networks by leveraging the strengths of legacy systems, while adding functionality and superior workflows where legacy systems are weak. Pegasystems puts the power of innovation into the hands of the business owner so that they can rapidly turn business objectives into intelligent, automated processes. The solutions will address major changes anticipated in the healthcare industry, including increased regulation and the potential addition of 26 million new Medicaid and Medicare members.
Pegasystems claimed that its ‘Build for Change’ capabilities enable healthcare organizations to create solutions that fuel business growth. They can explore all the capabilities that they get within the unified Pega environment, including BPM, CRM, case management, decision management, and technology management, to achieve optimal operational agility. They can also realize faster innovation and new efficiencies while also benefiting from lower cost of ownership.
The company added that its solutions are already been deployed in six of the eight largest healthcare plans in the U.S. and in many major healthcare delivery systems and government agencies both at the federal and state level.
In a press release, Elizabeth Hart, principal analyst of healthcare industry solutions at Pegasystems commented, "The pace of change and magnitude of disruption brought on by healthcare reform makes Pega's Build for Change technology the ideal solution for organizations needing to manage their transition to next-generation healthcare. Pega's comprehensive healthcare solutions create a powerful and extensible foundation that can be leveraged to speed health plans' transformative efforts."
Nathesh is a contributing editor for HealthTechZone. To read more of Nathesh's articles, please visit his columnist page.Edited by
Erin Monda
