Healthcare Payer

With three decades of experience partnering with top names in healthcare, Capgemini has proven and innovative solutions and delivery models to help payers and providers address current and emerging challenges.

Flexible, nimble and responsive solutions that improve profitability for healthcare payers

Health insurance customers are becoming truly multi-channel and multi-dimensional. They want to interact with their health insurance provider seamlessly, real-time and through various methods including phone, text, email, web and social media. To meet these new customer demands, payers need to redefine themselves to become more flexible, nimble and responsive while maintaining or improving profitability.

 

Our healthcare capabilities span the entire spectrum ranging from IT solutions and traditional business process outsourcing to full service third party administration services and advanced healthcare consulting services. We have experience implementing and supporting major vendor packages such as ALIP, Ingenium, Claims Component, Dragon, PolicyStar, Claims WorkStation, FAB, TIA, TriZetto Facets, COMPASS, GroupFacts, ClaimFacts, and Amarta. From claims management to commissions and compensation processing, distribution services to product performance monitoring, Cagpemini helps healthcare payers across the full healthcare value chain.

 

Capgemini’s clients include commercial payers; Medicare Advantage, Medicare Prescription Drug and Medicare Supplement payers; accountable care organizations; providers; retail and wholesale pharmacies; and clearing houses.