Pega Marketplace
Member Wellness & Outreach Solution Features
The Pega-based Digital solution effectively delivering Proactive, personalized Member health management, better living & optimized healthcare cost
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Overview
Personalized Wellness: The solution would capture active drugs, allergy and disease of a member and provide a consolidated drug therapy issues for physician consultation. The pharmacist would then consult with member to provide the physician suggestion. The solution would provide feature to create next appointment.
Streamlined Member appointments: The workflow helped to route the appointment tasks to the right payer agents based on their roles and availability. Future appointments were set up with appropriate alerts to ensure they are never missed.
Streamlined workflow: The solution with an integrated view of the Member health data and a streamlined workflow helped the care advisor/payer agents to quickly collaborate and identify potential Member health issues thereby accelerating the Care delivery process.
Improved efficiency & Cost optimization: Would enable payer agent to identify potential health issues and would lead to less medication. Hence optimizing the cost
Key Features
- Payer agnostic Member Wellness solution
- Schedule Member appointment
- Automated Rx history review of Members
- Capture detailed member health topology to ensure member wellness
- Automated Drug Therapy report generation
- Common platform for Provider/Member interaction
Resources
Partner Name
LTIMindtree
Tags
- Pega Products: Pega Foundation for Healthcare Pega Common Application for Healthcare
- Industry: Healthcare
- Product Capability: Case Management Workflow Automation Case Management Workflow Automation
- Pega Version compatibility: '23
- Geography: Americas Asia Pacific EMEA
Offering Type
Component