Business
Pega Foundation for Healthcare Enhancements Help Payers and Providers Accelerate Access to Care
New AI and automation capabilities help healthcare organizations speed through complex processes CAMBRIDGE, Mass., March 7, 2023 /PRNewswire/ -- Pegasystems
About this update from Pegasystems Inc.
[{"type":"text","content":"New AI and automation capabilities help healthcare organizations speed through complex processes\nCAMBRIDGE, Mass., March 7, 2023 /PRNewswire/ -- Pegasystems Inc. (NASDAQ: PEGA), the low-code platform provider empowering the world's leading enterprises to Build for Change®, today announced enhancements to Pega Foundation for Healthcare enabling healthcare organizations to accelerate access to care at scale for their customers. With expanded interoperability, intelligent AI-powered decisioning, and personalized responsive benefits, the solution helps streamline the myriad of processes and regulations that frustrate payers, providers, and customers.\n\n \n \n \n \n \n \n\n \nThe growing complexity in the healthcare system continues to outpace advances in digital technology intended to simplify it. For example, the Centers for Medicare & Medicaid Services recently outlined hundreds of new procedural changes required to transition from the COVID-19 public health emergency that will impact an estimated 16 million individuals. These ongoing changes will make it difficult for health insurance providers to continue to authorize payments in a timely manner, for healthcare providers to manage their patients' care, and – most importantly - for consumers to get the care they need.\nBy applying AI and automation to critical bottlenecks in the healthcare system, Pega helps care organizations keep pace with healthcare system changes to help ensure patients receive the care they need. This allows them to rapidly deploy targeted operational processes and streamline back-end processes while increasing personalized engagement at a lower cost. Available today in Pega Foundation for Healthcare, the new features provide the following benefits to care organizations to help deliver better customer health outcomes:\nSpeeding customer assistance with intelligent routing: Operations and service teams are overwhelmed with customer requests and struggle to meet service-level agreements. With out-of-the-box workflow automation capabilities, Pega enables payers and providers to intelligently triage these requests and either automatically resolve them or route them to the most appropriate available person who can address it in a timely manner. This helps organizations not only speed resolution but also save valuable resources.Cultivating more customer trust wi...