DIGITAL MODERNIZATION

Transforming the Payer value chain with digital modernization

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

Digital-modernization

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

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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

Modernized Stop loss application for a large Blue plan

Transformed legacy Stop loss contract management application with configurable workflows and enhanced functionality. Migrated ~1100 self-funded groups seamlessly on to new platform without any disruptions to business users.

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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

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

CitiusTech's recognition by Gartner underscores its strong interoperability
CitiusTech's recognition by Gartner underscores its strong interoperability
Bridging health disparities with analytics and AI
Bridging health disparities with analytics and AI
Empowering Healthcare – The transformation of Prior Auth with intelligent automations
Empowering Healthcare – The transformation of Prior Auth with intelligent automations
Build a data-driven Healthcare future with GenAI
Build a data-driven Healthcare future with GenAI
Tech I'd like to see: A unified healthcare interface
Tech I'd like to see: A unified healthcare interface