NEXT STEPS

From aligning your IT with your business needs to an end-to-end strategy for transforming your enterprise, TCS has the world-class experience and expertise that you need. Contact a consultant today.

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Healthcare

 

Healthcare organizations, today, must cope with a transforming business model while meeting the pressures of the industry’s regulatory demands.

 

At TCS, we enable healthcare organizations to enhance operational efficiencies, streamline internal processes, modernize business and develop customer intimacy, while meeting regulatory compliance.

Client Challenges

  • Managing a changing business model: Shifting to a patient-centric healthcare system
  • Coping with regulatory pressures for cost containment and alignment of incentives
  • Handling digitized data from multiple sources, leading to a data explosion
  • Implementing reforms to provide greater emphasis on wellness management and preventive care

What TCS Provides

At TCS, we have the experience, expertise and capabilities to help you innovate and transform your healthcare enterprise. Our full services offering comprise IT services, business process outsourcing, consulting and infrastructure services. Some of our focus areas include the following:  

  • ICD-10 / HIPAA 5010
  • Legacy system modernization
  • Remote health monitoring
  • mHealth initiatives
  • Payer CRM initiatives
  • Electronic health records and exchanges
  • Health information exchanges
  • Healthcare infrastructure management and hosting
  • Healthcare analytics and business intelligence
  • Digital strategy

client successes

We work with healthcare insurers and other payers to facilitate a seamless migration of their services to a future state driven by wellness, cost predictability and value to all stakeholders.

Learn how our solutions have provided significant value to our customers.

Solution:
Re-platform, transition, migration and retiring of legacy systems and to newer agile process-driven systems

Results:

  • A 34% increase in auto-adjudication rates
  • Significant cost reductions

Solution:
Enhance customer experience and analytics-driven wellness

Results:

  • Seamless customer experience across multiple touch-points like mobile applications and devices, internet, IVR and voice
  • A 40% decrease in repeat prescriptions
  • Significant refill error reduction by managing members and customers as a single entity across multiple lines of business

Solution:
Moving to an agile Pharmacy Business Management (PBM) system and integrating with other systems

Results:

  • A 15% reduction in overall costs
  • Reduction in year-on-year operational costs

Solution:
A single platform service and solution to manage enrollment and eligibility across multiple lines of businesses

Results:

  • An 80% reduction in enrollment errors
  • Complete annual enrollment within stipulated timelines

Solution:
Proactive solutions that enable fraud detection early in the claims adjudication lifecycle

Results:

  • Identification of 15% of the fraud cases early in the cycle

Solution:
Co-developed a comprehensive Revenue Management system

Results:

  • Over 80% decrease in claims errors
  • Significant improvement in Accounts Receivables (AR)

Case Studies

TCS helps a large health services organization implement its modernization initiative

Learn how TCS helped a global health service organization consolidate multiple policy administration systems into a single platform to enable superior web accessibility and lower maintenance costs.