<img height="1" width="1" style="border-style: none;" alt="" src="//googleads.g.doubleclick.net/pagead/viewthroughconversion/1064346053/?value=0&amp;guid=ON&amp;script=0">

INDUSTRIES

Health Plans

Drive digital transformation and improve member experience

Overview

Health plans faced significant disruption due to FHIR adoption, value-based care models, technology modernization, provider performance and member experience. The COVID-19 crisis has accelerated many of these initiatives. Health plans need to leverage digital technology to improve time-to-value and scale rapidly to 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 and payer customers

3 of 5

national plans are our customers

9

blue plans leverage our products and solutions

Health Plans: Focus Areas

We offer comprehensive solutions, accelerators and consulting services to drive digital innovation and enhance member experience for health plans.

Member Experience

CitiusTech builds end-to-end solutions for mobile-first engagements, personalized member analytics, self-service portals and omni-channel member management. We have an extensive portfolio of consulting, engineering, data and analytics offerings that enable payers to transform member experience, create longitudinal member profiles and drive member self-management.

We also help drive next gen initiatives – including experience engineering using AI/ML, payment integrity solutions, member profiling and segmentation, performance analytics and member management operations (including CRM platform integration with key workflows like care gaps, member outreach).

person wearing lab coat writing on clipboard

Our Service Offerings

Healthcare Consulting

Management, functional, digital consulting and business advisory services to address strategic transformation needs of health plans.

Analytics, Data Science / AI

Healthcare focused analytics and AI/ML capabilities to derive meaningful insights, power decisions and enable personalized experiences.

Digital Engineering

Enterprise software engineering using design thinking, next-gen technologies, scalable data solutions, cybersecurity principles and agile methodologies.

Specialized Partnerships

Driving complex digital transformation initiatives for health plans – HealthEdge, Altruista, Simplify Healthcare, Sapphire Digital, WhizAI

Healthcare Consulting

Management, functional, digital consulting and business advisory services to address strategic transformation needs of health plans.

Analytics, Data Science / AI

Healthcare focused analytics and AI/ML capabilities to derive meaningful insights, power decisions and enable personalized experiences.

Digital Engineering

Enterprise software engineering using design thinking, next-gen technologies, scalable data solutions, cybersecurity principles and agile methodologies.

Specialized Partnerships

Driving complex digital transformation initiatives for health plans – HealthEdge, Altruista, Simplify Healthcare, Sapphire Digital, WhizAI

Transparency in Coverage Solutions

Machine Readable File Engine for Payers

MRF Engine is a platform-agnostic SaaS solution that helps payers accelerate CMS compliance for Coverage Transparency, empowering members to make well-informed decisions.

Learn More

Machine Readable File Analytics for Payers

CitiusTech MRF Analytics solution has been designed to enable transparent exchange, proactive coordination & enhanced decision trust that ultimately influences Payer Enterprise Outcomes.

Learn More

Health Plans: Technology Products

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

Consult our professionals

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

CitiusTech Reception Desk