Inside the Briefcase

Ironclad SaaS Security for Cloud-Forward Enterprises

Ironclad SaaS Security for Cloud-Forward Enterprises

The 2015 Anthem data breach was the result of...

The Key Benefits of Using Social Media for Business

The Key Benefits of Using Social Media for Business

Worldwide, there are more than 2.6 billion social media...

Gartner IT Sourcing, Procurement, Vendor and Asset Management Summit 2018, September 5 – 7, in Orlando, FL

Gartner IT Sourcing, Procurement, Vendor and Asset Management Summit 2018, September 5 – 7, in Orlando, FL

Register with code GARTITB and save $350 off the...

Infographic: The Three Pillars of Digital Identity: Trust, Consent, Knowledge

Infographic: The Three Pillars of Digital Identity: Trust, Consent, Knowledge

8,434 adults were surveyed to gauge consumer awareness of...

FICO Scales with Oracle Cloud

FICO Scales with Oracle Cloud

Doug Clare, Vice President at FICO, describes how Oracle...

Health Net Picks Pegasystems to Achieve New Value and Efficiencies Across Its Operations

December 22, 2010 No Comments

SOURCE: Pegasystems

Pegasystems Inc. , the leader in business process management (BPM), today announced that Health Net, Inc. has chosen Pegasystems to help achieve new value and efficiencies across its operations.  Pega’s advanced healthcare solutions for claims, care management and customer service allow customers to realize controlled and rapid transformation in step with the demands of healthcare reform.

A Fortune 150 company, Health Net’s 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.

Pega’s solutions provide the opportunity for health plans and other healthcare-related businesses to address major changes anticipated in the healthcare industry, including increased regulation and the potential addition of 26 million new Medicaid and Medicare members.  Pegasystems’ Build for Change® technology delivers rapid deployment and increased flexibility without compromising rich “out-of-the-box” functionality, so healthcare organizations can leverage existing investments and streamline operations in a controlled manner.  These organizations achieve faster innovation and new efficiencies while also benefiting from lower total cost of ownership.

Pega’s solutions are widely used by major healthcare organizations including six of the eight largest US health plans, two of the four largest pharmacy benefit managers, several leading healthcare delivery systems, and US government agencies at the state and federal level.  Healthcare transactions for more than one of every two Americans, including members from over 60 percent of the Blues network, are processed with Pegasystems’ technology.

Supporting Quotes:

Janice Young, Program Director, IDC Health Insights

“New vendor solutions in the healthcare payer market are emerging that provide broader technology management options other than the traditional application ‘rip and replace’ model.  Well-timed in this era of multiple and competing business and technology priorities, financial constraints, legislative mandates, and risk mitigation, these technology models enable healthcare payers to leverage legacy investments and move incrementally and iteratively toward newer architectures.  These solutions will be critical to enabling healthcare payers and their technology partners to respond to the demands of the reforming market amid severe cost pressures.”

Elizabeth Hart, Principal, Healthcare Industry Solutions, Pegasystems:

“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.”

View Original Press Release

HEALTH IT

Leave a Reply

(required)

(required)


ADVERTISEMENT

Gartner IT Operations

SuperCharge Your Cloud

American CISO

IBC 2018

ITBriefcase Comparison Report