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INDUSTRIES

Health Plans

Leveraging Next-gen Technology to Drive Digital Transformation and Improve Member Outcomes

Health Plans: Overview

In recent years, the health plan industry has faced significant disruption due to initiatives like FHIR enablement, enterprise data strategy, technology modernization, provider performance and member experience. The COVID-19 crisis has accelerated many of these initiatives. Health plans are leveraging next-gen technology to improve time-to-value, create new markets and move ahead of competitors.

CitiusTech is well-positioned to empower health plans at every step of their digital transformation journey. We focus exclusively on delivering specialized solutions and services across the healthcare digital value chain – spanning interoperability, data & analytics, digital engineering, provider performance management and member experience management.

Our technology solutions for health plans are complemented by healthcare consulting solutions around digital innovation, core system performance, member engagement and regulatory compliance (HEDIS®, STAR).

*HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA)

30+

Health plan & payer customers

3 of 5

National plans are our customers

9

Blue Plans leverage our solutions

15

States where our solutions are being used

Health Plans: Focus Areas

Comprehensive solutions, accelerators and consulting services to drive digital innovation for payers.

Interop (FHIR)

Our deep understanding of interoperability (HL7/ CCDA/ FHIR) - cutting across health plan and provider applications (EHRs, HIEs, labs, interface engines) helps us deliver prebuilt solutions, accelerators and specialized consulting services for interoperability and payer-provider convergence.

 Our FAST+ platform is a one-stop solution for FHIR implementation and CMS Interop Rule compliance, with a large set of pre-built components (APIs, parsers and data repositories). We work closely with leading payer organizations to drive next-gen interop initiatives, e.g., SMART on FHIR apps, NLP integration, Big Data and Cloud Computing.

person wearing lab coat writing on clipboard

CitiusTech's Stars Decision Engine

Leveraging the power of AI/ML to help health plans guide their annual Stars improvement program.

Health Plans: Technology Platforms

CitiusTech helps customers accelerate innovation in healthcare through specialized solutions and next-gen healthcare technology platforms.

Consult our professionals

Get to know more about the services we offer. We are glad to help you.

CitiusTech Reception Desk