Our Blended Managed Services Delivery for Configuration and Testing Drives Cost Savings and Efficiencies for Health Insurance Organizations
Health Insurance Plan / Product configuration faces number of challenges
The healthcare landscape is constantly evolving with new medical treatments, technologies, and procedures. Insurers must stay abreast of these changes to update their insurance products accordingly. Configuring plans that adapt to emerging healthcare trends and technologies can be challenging but is crucial for providing relevant coverage.
Individuals and businesses require health insurance plans that cater to a wide range of needs. Insurers must design configurable products that can accommodate different coverage levels, deductibles, co-payments, and other variables to meet the diverse requirements of their customers.
Balancing the need for comprehensive coverage with cost containment is a perpetual challenge for insurers. Configuring plans that offer value for money while keeping premiums affordable requires a delicate balance and strategic decision-making.
Health insurance Industry is subject to numerous regulations and compliance requirements that vary across regions. Insurers must navigate through these intricate regulatory landscapes to ensure that their plans adhere to all relevant laws and standards while designing and implementing new Plans and Products. Keeping up with changes in regulations adds an extra layer of complexity.
From Sales and Marketing to configuration design and testing is a long tedious process that needs careful execution and many a times long work hours to meet the open enrollment timelines.
We help you in meeting your open enrollment timelines every time.
Our Configuration Expertise
BenefitPro™
BenefitPro™ is a complete benefit configuration testing automation solution designed and developed by our healthcare team based on their real-world experience of the past 20 years in benefit configuration testing.
Benefit validation simplified to service level granularity.
Ability to test only the changes for renewal products with minor changes in benefits.
Ability to choose a service category like physician, hospital services or individual services like chemo or LAB in different settings.
Validation of preauthorization, limit and deductible that compares offered vs configured values.
Claim level validation ensuring proper provider reimbursement and member liability.
Easy retesting with the ability to select only fixed services.
Product can be assigned to multiple testers based on categories which improve productivity.
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5+
Supporting Configuration and Testing projects
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150%
Cost Reduction
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80%
Configuration Turnaround Improvement
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99%
Quality Index
At Agile healthcare business consulting, our Strategic Staffing Solution helps our customers build top-notch project teams to deliver long-lasting business values. In addition to our own certified healthcare professionals, we have direct access to more than 4000 healthcare professionals. We not only match our customers’ requirements but also ensure professionals are aligned with the organizational culture and values of our customer.
We strive to improve and effectively implement innovative business solutions and processes in a diverse range of health care organizations. Our highly skilled business analysts efficiently connect the dots between user needs and technical requirements. Our solution architects work closely with businesses, ensuring the best-optimized solution possible.
For more details please contact sales@agilehealthtech.com.
Client references can be provided upon request.