Engagement has never been more important to health plans. While transformative business and technology solutions allowed us to quickly adapt to a new normal, it’s emerging solutions that will sustain us throughout an unpredictable time. But what does this mean right now? The strongest health plan is one that incorporates technology, business, culture, human capital and strong leadership, and digitally transformed plans will be better positioned for future success.

Our health plan services connect both members and providers—and with decades of work in the industry, our consultants have the expertise and answers that can help you define and execute your vision. Harness next-generation intelligence and advanced analytics. Meet the demands of your modern workforce, and elevate the member experience through mobile, cloud, IoT and other digital solutions. Let opportunity and strategy drive innovation and growth. And write your next chapter with confidence.

A Leader in Payer Digital
Transformation Services

According to ISG, “NTT DATA offers decades of experience
and ongoing presence serving the U.S. health plans,
with extensive domain expertise and a strong foundation of
digital services.” That’s why we’re called a Leader in the
ISG Provider Lens™ Healthcare Digital Services U.S 2020 report.
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Everest Group named us a Leader in Healthcare Payer Digital Services, citing our business-first approach and end-to-end services. – January 2020

When it comes to data, AI and digital transformation, the question isn’t how we can help healthcare organizations, but how can we not? See why.

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Our Services

Business Intelligence & Analytics for Health Plans

Provide the right insights at the right time to facilitate innovation and growth.

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BPO for Health Plans

Expand beyond traditional processes to make your operations more competitive and streamlined.

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Business Insights Engine

Gain insight with a 360-degree view of individual members though this as-a-service solution.

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Healthcare Staffing Solutions

Manage operational challenges and streamline processes with flexible staffing solutions.

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Digital Health Consumer Platform

Increase consumer engagement and empower individuals to take charge of their healthcare journey.

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Enrollment & Billing

Maximize efficiencies and engagement with a flexible, modular solution to achieve the accuracy and customer satisfaction you want and expect.

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Health Plan Consulting

Enhance your strategy and operations to meet changing customer needs, and strike a balance between innovation and practicality.

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Payment Integrity

Improve payment integrity and maximize revenue recoveries with proven toolsets for screening, scoring and coordinating benefits.

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Platform Enablement

Boost third-party capabilities with proven high-performing claims platform implementation, application migration, analytics, hosting and business processes.

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Provider Data Management

Improve the accuracy of your provider data with a streamlined, flexible data management solution.

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health-plans

AI: Risk, Reward and Hype

For health plans, AI adoption holds promise – but it’s not without challenges. It’s time for a reality check. Our webinar explores a recent study, conducted by NTT DATA and Oxford Economics, highlighting what leaders and associates are experiencing around security, privacy and lack of transparency of the automated decision systems.

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