Virtusa mentioned in Gartner’s 2019 market guide

for U.S. Healthcare Payers’
Provider Network Management (PNM) applications

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In our opinion, the guide talks about an increased need to accelerate the transition from conventional PNM to provider/partner alignment for improved processing efficiency, data accuracy, and overall provider experience. It recommends avoiding point solutions for contracting, credentialing, or data management.

Unify every aspect of your complex provider relationships with Virtusa’s Provider Lifecycle Management, the only solution built to handle current and future challenges

 

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Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, express or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.
Gartner Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications,9 September 2019, Bryan Cole
Gartner PLM Chart
This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from Virtusa.

Future of provider relationships lies in end-to-end provider lifecycle management

Payers are constantly looking for ways to effectively manage provider relationships, but it’s challenging, and they continue to face numerous issues such as:

  1. CMS regulations around access to care and audits/fines imposed on incorrect provider directories.
  2. Limited support for innovative compensation models focused on increasing the quality of service and reducing the cost of service.
  3. Internal inefficiencies due to disjointed systems that manage the end-to-end process and missing ‘provider source of truth’.
  4. Manual processes and the inability to track SLAs
  5. Low provider satisfaction


Transforming provider lifecycle management to make payers future-ready

Virtusa addresses these challenges and enables future provider relationships with an unwavering focus on the complete end-to-end cycle of provider management, including recruiting, contracting, onboarding, configurations, and servicing.

Built on the Pega® Platform, our PLM solution reduces incorrect claims payments due to delayed provider configuration, improves operational efficiencies, reduces onboarding time, and ensures better data quality and transparency.

Find out why Gartner mentioned Virtusa as a representative vendor in the PNM market

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