Industry Trends

In the current global economic crisis, spending across different industries has been curtailed and the Healthcare industry is also facing renewed pressure to reduce costs and increase flexibility. The impact of this pressure is seen in,

• Members demanding more flexibility in services and products with lower costs and improved quality from health insurance firms
• Increased pressure on managed care providers to contain costs
• Pressure on the Healthcare Payers industry to improve performance and accuracy of Claims Processing

Given these demands payers need to implement Legacy Modernization in their claims platform to ensure greater flexibility in providing services while reducing transaction costs.

How Wipro Helps

Wipro's solution for Legacy Modernization focuses on movement from a traditional project to product-based solution frameworks, applying SOA accelerators specific to the Healthcare Payer industry providing the needed flexibility for future enhancements and customizations.

Wipro Legacy Modernization solution enables

• A 24x7 real time enterprise application with entire claims adjudication/enrollment/eligibility process integrated, enabling internet based services to the recipients
• Increase the accuracy, performance and through-put of claims processing
• Decrease the operational costs and reduction in implementation cycle

To enable smooth modernization, Wipro leverages its rich experience with Legacy Modernization, cutting across all business processes within healthcare systems like claims, membership, provider, billing. This experience is extended across technical platforms of Sun, IBM, other technologies, along with integration of COTS products specific to the Healthcare industry.