Digital Themes

Virtusa / Healthcare / Application Modernization
Transform Legacy Applications Into Agile Digital Platforms

In an environment of changing healthcare regulatory requirements coupled with digital transformation, managing complex, legacy system is a competitive disadvantage. Health organizations have an opportunity to completely transform the middle and back office operations while addressing the needs of a digitized customer experience. IT Enterprises face multiple challenges in supporting business operations due to the inflexible of their systems and the high cost of change and maintenance.

Virtusa’s Application Modernization program is a business-driven approach for the end-to-end transformation of legacy applications, focusing on business value, customer experience, and operational benefits. We offer a Digital API and Microservices framework with proven accelerators and API connectors to most of the third party and technology platforms that support fast connectivity and integration. Our application modernization services transform existing applications into a set of highly integrated, agile, flexible and streamlined applications and processes with high levels of performance. We have migration tools to carefully and successfully move applications to public, private or hybrid Cloud environments. We optimize the environment with award-winning automation tools focused on code quality to test automation allowing your business and IT to focus on providing business value rather than pure maintenance and support. We also have gamification tools to promote culture changes and collaboration to ensure the organization is prepared to meet future demands of this dynamic environment.

Digital Solutions & Services

DevOps & MicroServices

Increase the effectiveness of your agile and modernization journeys by 50-70% for business agility and cost savings

DevOps & MicroServices

Healthcare organizations are beginning to embrace DevOps, Microservices and Cloud adoption. Digital healthcare players operate at a much different pace than heritage brands. As they embark upon business-led designs & heavy technology focus, they require pluggable business components (private, public, etc.) that provide ala-carte functions instead of a channel buffet. They require new architecture styles and domain-driven designs, that has open API ecosystems and automation embedded at its heart.

Virtusa’s award-winning tools and methodologies can customize your journey to becoming an agile organization and reducing your technical debt. Our microservices capability model goes beyond just services, into supporting capabilities, core capabilities, process & governance capabilities as well as infrastructure capabilities.  We have perfected our blueprint related to the key aspects of API technology through multiple customer engagements. Our API Lifecycle Management & Registry enables enterprises ensure standardization & conformance to their overall microservices strategy.

Testing Automation

Move away from low-ROI, rules-based Test Automation

Testing Automation

Traditional test automation continues to struggle to replace human workers, despite being around for over a decade. Many high-volume healthcare use-cases, though ideal for being automation-tested, cannot be test-automated due to the many critical limitations of rules-based test automation: lack of intelligence to look/think ahead and make real-time decisions, inability to read unstructured formats and lack of situational awareness, inability to use context to fill-in missing information, lack of workflow management, business rules, and next-best case management.

Virtusa’s Test Automation Factory enables healthcare enterprises to move away from traditional cost-intensive approaches to Test automation and refocuses on ROI for automation. Our award-winning accelerator, VTAF, enables automated testing of a system with minimum knowledge of any automation tool, thus significantly bringing down resource/expertise costs and allowing for faster time-to-market. The accelerator generates high-quality automation scripts with maximum reusable components and low maintenance effort. ​ ​Your automation initiatives become 2X faster and cost 70% less, automation suites incur 60% less maintenance costs, and porting scripts across tools and frameworks incur 90% less effort.

Enterprise Product Solution

A Digital Product Platform that reduces redundant products and effectively manages the Product Management Lifecycle

Enterprise Product Solution

Healthcare regulations are dramatically changing the health insurance landscape, mandated retail exchanges are nurturing intense competition and there is a greater demand for consumer-centric products at lower prices. In this environment, payers need to invest in product platforms that can support flexible product designs and service all segments – groups, individuals, and government business. A single source of truth for product repository is required.

Virtusa has a proven methodology and an innovative platform that guides Payers through a successful product / benefits implementation, accelerated by customized assets and solution. The transformation has the potential to create significant benefits for Health Plans

  • 30% DECREASE in product time to market
  • 4x INCREASE in speed & accuracy of benefit load
  • 25% DECREASE in incorrect claims payments & overturned appeals
  • 20% INCREASE in accuracy of Member and Provider benefit inquiries
  • Significant cost savings through improved deployment flexibility

Sales Automation Platform

A platform that drives engagement and accelerates customer acquisition with digital convenience

Sales Automation Platform

The healthcare industry is witnessing an unprecedented increase in individual and family enrollment, in the current ACA market. There is also a growing demand for customer-centricity in healthcare and one of its major impacts are on the ability of Payers to effectively sell their new products and services to groups and individuals. Changing rules, new marketplaces, tighter sales periods and heightened consumer involvement strain what are already high-stakes decisions. New sales models call for tailored sales navigation, streamlined processing and rapid market response that traditional sales tools do not deliver.

Virtusa’s Sales Automation Platform, is a scalable, easy to manage enterprise administration platform designed to integrate real-time with health plan management systems. A broker-friendly system that increases sales, transparency and accuracy of standard products for small group/ individual sales. Key features of the Sales Automation Platform are Lead management, Opportunity management, Opportunity finalization, and Renewal automation. The platform increases transparency and accuracy of standard products for small group/ individual sales.

Automated Billing & Payments

A retail billing & payments solution that supports Payers complex financials related to the individual market segment

Automated Billing & Payments

As an industry that had been dominated by B2B business from employers, the large shifts to B2C marketplace brought upon by ACA have forced the healthcare industry to engage in technologies and digital strategies that enable Insurers to engage a direct consumer. Dramatic increases in direct-to-consumer retail plans purchased on health exchanges and increasing patient responsibility make it more important than ever for healthcare organizations to give customers convenient, easy-to-use, and secure payment options.

Virtusa’s Enterprise Automated Billing & Payments Platform for Payers allows for Automated Billing that provides positive impact across finance, organizational revenue management, operations and customer service. Financial and Compliance Reporting customized for regulatory requirements and support the ability to effectively manage open receivables and payables. Portal Payment capabilities that reduce administrative overhead, drive out process redundancies, reduce payment delays, and enable organizations to handle subsidized payments or credits, and manage dual payment processing online. Claim Payment solution that provides end to end payment capabilities that include paper and electronic payments, positive pay, encashment, and payment reporting.