RPA-as-a-Servicefor the Healthcare Industry
With RPA-as-a-Service delivered by HPA, health plans can accelerate their RPA initiatives to drive operational efficiency and expand their capacity while keeping costs in check. HPA's deep expertise in healthcare automation and proven RPA Center of Excellence reduces the risk and total cost of ownership associated with building the RPA program in-house. We have demonstrated success automating processes across claims, enrollment, provider maintenance and more. HPA robots span the technology solution set, including Cognizant’s line of TriZetto Healthcare Products—Facets®, QNXT™, QicLink™, commercial and proprietary claims management systems, as well as third-party applications like McKesson CCMS and VITAL, CMS PC Pricers, ITS, Blue2, MedHOK, Micro-Dyn DRG and APC, and Medi-Cal sites. Learn more about the value of RPA-as-a-Service.
View the Solution Overview
Improve member engagement
Reallocate staff to work that provides greater value to members and to the organization.
Eliminate costly rework
Reduce manual intervention to increase accuracy and avoid costly financial penalties.
Increased regulatory compliance
Reduce the operational burden, risk, and cost associated with regulatory compliance.
Introducing TriZetto Robotic Process Automation – Powered by HPA
TriZetto RPA is an exciting new intelligent core automation offering that gives Facets and QNXT users exclusive access to a pre-built robot marketplace and service portal to accelerate implementation, drive greater ROI, and increase auto-adjudication. Robots can be fully-customized to your specific processes or system configuration, and offer easy integration with all versions of Facets and QNXT. The marketplace is populated with robots spanning Claims, Enrollment, Provider Maintenance, and more.
Simplifying Texas Medicaid Claims
The nature of Texas Medicaid claims prompted eight health plans to seek out robotic process automation to comply with the ever-evolving state and federal requirements while also ensuring their Medicaid business is secure. See how these payers leveraged HPA’s process automation services to dramatically increase claims processing throughput without adding significant human resources. Learn how to simplify Medicaid processing with HPA.
Client Spotlight: CareOregon
For CareOregon, who serves over 375,000 members, controlling costs, improving operational efficiencies, and reducing waste are top priorities. Read this Client Spotlight to learn what this health plan has implemented to achieve over $1.6 million in cost savings and more than 65,000 manual hours offset by automation since their first process went live in November 2016.
Client Spotlight: Kern Health
For Kern Health Systems (KHS), RPA was just what the health plan needed to keep up with rapid growth, both in claims volume and member services. Together, the KHS and HPA teams developed a world-class automation program to provide top-notch service to members and providers, resulting in 55% total cost savings, 14,500 manual processing hours saved, and a 70% increase in auto-adjudication. Read more about Kern's success.
Controlling costs, improving operational efficiencies, and reducing waste in the health care system is better for everyone, and a top priority for CareOregon. Our partnership with HPA enables us to apply more resources and focus towards fulfilling our mission to promote equitable healthcare for individuals and our communities.Amy Dowd, Chief Operating Office, CareOregon