Payer
The Challenge
Blue Cross Blue Shield of Massachusetts Video Case Study
Pressure is increasing on insurers to transform their processes and operations in order to meet the demands from shareholders, regulators and customers. EDS is working closely with insurers across the globe to address these demands.
Read more about Blue Cross Blue Shield of Massachusetts Video Case Study
In the healthcare payer segment, rapid growth and mergers have left many firms facing the task of rationalizing wildly disparate systems. This results in inefficiencies and downtime, and drastically hinders your ability to:
- Respond to growing demand for customer-centric services
- Improve and manage relationships with providers
- Manage benefit expense and improve your medical loss ratio
- Reduce administrative costs
- Control information technology (IT) spend
- Effectively address compliance issues
The Answer
Your best option: to modernize your systems and put in place the applications and capabilities you need to gain a competitive advantage. With EDS, you have an IT partner with an in-depth understanding of your business challenges, as well as a relentless commitment to making certain your systems provide a quantifiable return on investment (ROI). We can help you:
- Create systems that give you the speed and agility, which enables you to respond more quickly to industry trends and pressures
- Improve and personalize customer service via improved self-service and call center capabilities
- Better design member level benefits while bringing products to market faster
- Capitalize on existing health and business data by using it in new, innovative ways to harness intelligence and inform decision making
- Integrate disparate platforms and applications
With EDS, you have access to everything you need to achieve these and other objectives. Your organization will benefit from products and services that have set the standard for your industry, including:
- Business Exchange Services
- EDS Atlantes
- Government Healthcare BPO Services
- Healthcare Payer Administrative Services
- MetaVance
The Results
We've been the industry's leading IT outsourcing and claims transactions provider for more than 40 years. In that time, we've accumulated an unsurpassed level of expertise that you can leverage to bring meaningful improvements to your organization, including:
- Reducing processing and payment times
- Increasing systems performance while decreasing administrative and maintenance costs by up to 50 percent
- Supporting Web solutions that provide customers with instantaneous service and direct control over their individualized benefit plans
- Improving provider satisfaction through speedier payment processing, guaranteed eligibility and real-time processing
- Enhancing medical management by applying focused solutions to plan and monitor care, foster prevention, and increase compliance in chronic cases that account for nearly 75 percent of all healthcare expenses
If you're ready to harness the power of IT to transform your business, talk to EDS.
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- Read our Payer case studies
Payer Industry Contact Information
EDS Healthcare Leader: Sean Kenny
Sean Kenny, vice president, EDS Global Healthcare industry segment, is responsible for driving the business growth, strategy and investments required to support EDS’ commercial and government healthcare business around the globe.
For more information about what EDS can do for you, submit a business inquiry.
Healthcare Industry
Behind the success of healthcare providers and insurers in the private and public sectors is an ally, EDS. Helping enhance health administration processes, reduce costs and expedite claims, EDS provides a healthier outlook to delivering quality care.