The US healthcare is undergoing a fundamental shift from volume-based, fee-for-service to quality and value-based care. It is reshaping the entire healthcare ecosystem, from care delivery models to provider-payer relationships and patient engagement. Unfortunately, payers often find themselves irretrievably entrenched in sustaining legacy operations and outdated volume-driven models. While quality and value emerge as healthcare’s new currency, industrial-age payer operations obsessed with billing, not outcomes, risk relegating organizations to a vicious cycle of missed opportunities.
We are committed to delivering cutting-edge software solutions to customers, catering to the needs of Payers, Providers, and Pharmaceutical-Life Sciences. Our portfolio is characterized by both vertical and horizontal solutions, each designed to address specific challenges within the healthcare ecosystem.
Solutions for Healthcare Payers
Horizontal Platforms for Healthcare Payers
Use Cases That Can Be Automated with NewgenONE for Healthcare Payers (Health Plans)
Newgen’s Contextual Content Services
- Claims Document Management
- Compliance Management
- Member Enrolment Document Management
Newgen’s Intelligent Process Automation
- Claims Repair Automation
- Prior Authorization
- Policy & Procedure Management
- Benefit Plans Configuration
- Care Management Solution
Newgen’s Omnichannel Customer Engagement
- Personalized Member Communication
- Regulatory Notifications
- Members Payment Reminders
- HealthPlan Updates
- Premium Billing