How we help
Technology Services for Healthcare Payers
Healthcare experts, our strategists, architects, experience designers and engineers work with your team, leading, supporting and collaborating at any project stage. From strategy through implementation, we’re there where you need us.
Keep members engaged and satisfied, reduce costs, enable AI capabilities and improve provider relations with a comprehensive technology strategy.
Specialized in data, architecture, experience design and artificial intelligence, our team helps payers break modernization projects into achievable goals.
Whether you’re looking to rearchitect your core systems, modernize, integrate new applications or scale your technology infrastructure, our strategists work with you to define a path forward.
WAYS WE CAN HELP
- Data Strategy & Roadmaps
- Solution Architecture
- Enterprise Architecture
- Technology Advisory
- Member Experience Strategy
- AI Workshops & Advisory
Is your organization future-ready?
Legacy systems, inflexible platforms and inefficient business processes are a barrier to interoperability, efficient claims processing and compliance. Our think big, start small approach to modernization is designed to deliver immediate impact and minimal disruption.
We help payers react to shifts in the healthcare landscape and achieve enterprise agility and flexibility while setting a foundation for growth and innovation.
WAYS WE CAN HELP
- Membership & Enrollment
- Claims & Benefits Management
- Provider Management
- Care Management
- ERP Optimization
How’s your data infrastructure?
Timely, quality data is critical to transitioning to value-based care, enabling advanced analytics and improving population health. Don’t let silos hinder data access and transparency across your organization — we make data work for payers, building integrations that help you derive useful insights and make more effective decisions while ensuring HIPAA and HITECH compliance.
Building a robust data infrastructure, we help payers leverage data to improve patient outcomes and quality of care while reducing costs.
WAYS WE CAN HELP
- Value-Based Care Analytics
- Cloud Strategy & Implementation
- Population Health
- Group Reporting
- Revenue & Risk Adjustment
- Utilization Management
Leverage deep learning models to augment claims adjudication, improve fraud detection and risk accuracy, reduce costs and reach members more effectively and in a shorter time frame.
Combining healthcare data expertise with proven AI methodologies, we help payers adopt and evolve predictive technology to streamline administrative tasks, save time and improve outcomes.
From strategy and scaling to AI as a service, our expert team applies AI responsibly — addressing bias, fairness and drift.
WAYS WE CAN HELP
- Care Management
- Claims & Underwriting
- Risk Management & Security
- Fraud & Payment Integrity
Help providers, members and internal users access important information quickly and easily.
We modernize critical applications on top of legacy to improve collaboration, increase automation, drive efficiency for internal users and provide streamlined, engaging experiences for providers and members.
Our engineers, designers and developers work hand in hand, delivering human-centric experiences to help payers satisfy and retain customers.
WAYS WE CAN HELP
- Segmentation & Personalization
- Membership and Enrollment
- Claims Processing
- Billing and Payments
- Member Engagement
Serving leading healthcare payers for over 25 years.
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Whether you need an unbiased perspective on a current project, are exploring a new initiative or aren’t sure where to start, let’s talk.
Qasim Hussain
Managing Principal,
Healthcare Lead
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, V12Monarch and Clinical Data Integration solutions, to improve access and care delivery.