Kern Health Systems Manages Rapid Growth with HPA’s RPA-as-a-Service Robotic Process Automation (RPA) is an ideal solution for the unique challenges facing many payers in the U.S. 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. KHS serves primarily low-income Medicaid members in California, and its broad provider network includes hospitals, facilities, primary care doctors, and specialists. KHS is dedicated to improving healthcare for its members through an integrated managed healthcare delivery system. In 2015, KHS migrated from a legacy system to TriZetto’s …
Client Spotlight: CareOregon
CareOregon Implements HPA’s RPA-as-a-Service to Reduce Manual Intervention in Claims Processing Founded in 1994, CareOregon is a nonprofit organization providing health insurance services to more than 375,000 low-income individuals in Oregon. CareOregon is a managed care company with a broad goal: to make world-class healthcare available to all Oregon residents, regardless of income. The plan has built a healthcare delivery system that assures member access to physicians and healthcare professionals who understand special needs and provide quality care. True to their mission, it also supports local programs that offer housing, food, and job training to all Oregonians. As a Safety …
What Successful Payers Automate in Facets and QNXT
Another Cognizant Healthcare Conference is under our belts. Though HCC 2020 looked a bit different than other years, we nonetheless set records on attendance and engagement as we all joined together safely from home.
Aaron Straus, HPA’s healthcare product manager, walked attendees through a comprehensive overview of common best practices for health plans automating in Facets® and QNXT™.