Technology Consulting for Healthcare Payers
Mandates shift, new products launch, and reporting increases.
How we help payers
Three capabilities, applied to the realities of running a payer: consolidating, modernizing and integrating the systems that constantly need to keep up, getting your data to work to meet changing reporting and analytics requirements and mandates, and applying AI where it lowers claims and administration costs. Here's what each looks like in practice.
Talk to an ExpertSystem Modernization
Your systems can't absorb the change fast enough
Your systems eventually reach the point where they can't keep up, too old, too rigid, too tangled to absorb the next mandate or business change.
We see modernization through from strategy to delivery
When that moment comes, we provide the technical leadership to see it through. We help you untangle your system landscape, evaluate and select the right path for modernization, and see it through with your team.
So the systems your business runs on can take on what's next
So the systems your business runs on can take on what's next instead of blocking it.
Systems we modernize
- Membership
- Claims
- Billing
- Provider Management
- Case Management
Explore our System Modernization services
Applied AI
Your application of AI has to reduce costs and pass security
Your executive team and business are excited about AI, but it only earns its place when it reduces costs and clears security and compliance. Most of that excitement ends at a vendor demo or a PoC that never gets fully operationalized.
We build and operationalize secure AI applications that prove their value
We build the PoC for your AI applications, or help you select a vendor and prove the concept and the return on investment. From there, we build or evaluate the models to be explainable and checked for bias, so business and clinical teams trust them, and we secure the solutions so they pass your organization’s security standards. Most importantly, we operationalize the application into production and fine-tune it once it's in the real world.
So the excitement about AI turns into real outcomes for your business
So what your executives and business teams expected becomes real: lower costs, in production.
Where we apply AI
- Care management
- Utilization Review
Where we’ve applied it
Explore our Applied AI services
Data & Analytics Modernization
Your data is scattered and you’re asked to stitch it together constantly
Your data is spread across vendor products and home-grown systems. Your business, CMS, and state agencies continue to demand more reporting and analytics to support new product launches and programs such as value-based care, population health, risk, and quality.
We build the data pipelines, platforms and integrations
We build the data platforms and integrations that help your team bring the data together, from data pipelines, data warehouses, data lakes, data marts, operational data stores, and analytics dashboards, with the data quality, accuracy, trust and governance that reporting demands.
So your data can keep up with your business
So your business units can launch the new products and run the programs effectively.
Domains we’re fluent in
- Claims
- Clinical / EHR
- Provider
- Pharmacy
- HEDIS
Where we’ve unlocked it
Explore our Data & Analytics services
Our Clients
- FROM THE CLIENT
X by 2 is a true partner. They listened to us and included us throughout the process while still taking ownership of the project deliverables. Their experience and quality of work definitely set them apart from other firms.
Arjay Patrick, Director,
Information Technology, MESSA
Meet the Expert
As Managing Principal and Healthcare Market Lead, Qasim Hussain brings over 25 years of experience leading modernization for healthcare payers, providers, solution providers and startups. He also heads product engineering, driving development in AI/ML and X by 2 data accelerators, like our Data Quality Framework, Monarch and Clinical Data Integration solutions, to improve access and care delivery.
Not sure where to start?
Begin with an Assessment. We diagnose the real state of your data and hand you a prioritized, stakeholder-ready path forward, no long-term commitment required.
Talk to an Expert