Health Plans & Providers

Transform member and patient experiences and optimize your business with purpose-built solutions for payers and providers

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Overview

Digital Healthcare Solutions

Volatile market dynamics such as rising costs, shrinking budgets, and new legislation and regulations have changed the health industry landscape and increased competition dramatically. Creating more value for members and patients is now a critical end goal.

Digital technology can help meet the challenge. However, the healthcare industry is behind the curve when it comes to technology, and on-premise legacy systems still dominate most organizations. To gain the needed competitive advantage, health payers and providers need to modernize their infrastructures, platforms, and applications, as well as:

  • Transform member/patient/provider experience
  • Deliver holistic member and patient care management
  • Increase efficiency and reduce costs across the business
  • Harness the power of data to strengthen broker and member relationships
  • Maintain compliance in a dynamic environment

Top Health business challenges

With Dynamics 365, we can build a single view into the heartbeat of every member, while we deliver more interoperability to providers, partners, members, and employees.

Michael Della Villa, Chief Information Officer, MVP Health Care

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industry-focused products and solutions

Purpose-built relationship management for health plans

Hitachi Solutions Engage for Health Plans offers providers a practical solution to effectively manage and foster profitable relationships across agencies, customers, brokers, and other partners.

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Engage for Health Plans

Our solution enables you to focus on all aspects of your business and the customer lifecycle, from relationship and engagement management to business development. The solution includes:

  • Quote to card
  • Group plan administration
  • Distributor relationship management
  • Member care
  • Provider services
  • Member integration
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Dynamics 365 Tools

You’ve invested a lot in your custom Microsoft Dynamics 365 implementation. Protect that investment against the negative effects of inefficient integrations, constant platform release cycles, and changing business needs.

  • Shortcut costly add-ons and complex integrations
  • Automate software releases and upgrades
  • Simplify rule and code changes
  • Plug-ins, libraries, and other tools
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Did you know…

47%

of healthcare organizations are already using patient data predictive analytics

1 in 3

health plans cite rising customer expectations as the primary driver behind their plans for digital transformation

40%

of consumers decide to continue health insurer relationships based on the quality of the experience

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