The Payer marketplace, like the overall Healthcare industry, is undergoing a transformation journey. The focus of Payers continues to be to improve the health outcomes of its members by providing accessibility to the best and most affordable care possible.
To deliver on these objectives there is signification transformation, of both business models and technology capabilities, that is occurring. Payers are focusing on the continued move from Fee for Service models to Value-Based Care models. This is happening across all segments – commercial, individual, and government business. There continues to be Payer – Provider – PBM convergence in the marketplace, to integrate capabilities, improve efficiencies and ultimately reduce overall costs. Payers are also continuing to engage in Digital Health innovations. From experimenting with new technologies to significant investments in digital health startups, they are looking to adopt technologies that can provide business value. The healthcare marketplace is also continuing to see an explosive number of solution and vendors attempting to provide solutions for the Connected Customer Experience.
Virtusa is working with the largest Payers in the nation to navigate through these challenges and to deliver on their vision for Enterprise Transformations, Digital Health Innovations, and Improving Care Delivery for its membership.