DIGITAL MODERNIZATION

Transforming the Payer value chain with digital modernization

Modernizing legacy systems into agile, scalable platforms for superior member experience

Digital-modernization

SUCCESS STORY

Transforming Stop Loss Management for 1100+ self-funded groups at a large east coast Blue plan

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REPORT

Leader & Star Performer in Everest Group Healthcare Payer Digital Services PEAK Matrix® Assessment 2023

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WEBINAR

AHIP Webinar | Digital Transformation: Adoption and Impact on Payers

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HEALTH PLANS

Building next-gen digital capabilities

Modernize inflexible legacy systems that hinder agility, scalability, and integration. Drive digital transformation with CitiusTech’s forward-thinking healthcare consulting, strategic platform modernization, and collaborative technologies.

Strategic data consulting

Strategic data
advisory

Bidirectional FHIR

Bidirectional
FHIR exchanges

In-depth clinical data ingestion

In-depth clinical
data ingestion

Regulatory compliance focus

Regulatory compliance
focus

Platform modernization

Holistic platform
modernization

Process re-engineering

Process
re-engineering

CONNECT WITH US

Transform your operations with advanced Payer analytics and AI

Payer

features

Accelerating Healthcare with digital innovations

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Leverage enterprise-wide transformation strategy

Assess cloud readiness, current and future states of business processes and IT systems. Perform rapid prototyping, comparative analysis, and ROI-based recommendations.

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Optimize implementation strategies

Create and execute holistic solutions, optimizing Payer Core administration, such as claims, payment integrity solutions, EHR/EMR platforms, revenue cycles, and data analytics. 

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Innovate with platform modernization

Elevate performance with cloud-native development, UI modernization, and infrastructure automation, ensuring rapid innovation and resource optimization. 

Enhance digital health and telehealth

Streamline process re-engineering

Optimize workflows with advanced process mapping, robotic process automation (RPA), and user education, resulting in streamlined and efficient operations.

Streamline data access with standardized formats

Accelerate transformation journey

Boost transformation speed with proprietary frameworks for cloud migration, DevSecOps, MLOps, FinOps, and KPI monitoring. Partner with HealthEdge for CoE and SmartStart framework.

SUCCESS STORIES

Solving some of the greatest challenges in Healthcare

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Case Study

Reimagined member portal performance through digital modernization

Saved $2Mn in licensing costs while improving application performance by 60% for a leading health plan.

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Case Study

Transforming Stop Loss Management for 1100+ self-funded groups at a large east coast Blue plan

Modernized legacy systems, boosted operational efficiency by 40% and cut costs by 25% through a scalable, multi-tenant platform on Google Cloud

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PARTNERS

Creating an ecosystem of limitless possibilities

SERVICES

Shaping Healthcare possibilities with our expertise

Insights

Practical thought leadership on healthcare and technology

AHIP Webinar | Digital Transformation: Adoption and Impact on Payers

AHIP Webinar | Digital Transformation: Adoption and Impact on Payers

AHIP Webinar | Digital Transformation: Adoption and Impact on Payers

AHIP Webinar | Digital Transformation: Adoption and Impact on Payers

Payer technology innovations - Beyond digital transformation

Payer technology innovations - Beyond digital transformation

Breaking Boundaries - Enhancing Healthcare Access with BlueCard Modernization

Breaking Boundaries - Enhancing Healthcare Access with BlueCard Modernization

Maximizing the value of Price Transparency data with better MRFs

Maximizing the value of Price Transparency data with better MRFs