PW 2013 Presentation: Fighting Healthcare Fraud, Waste and Abuse on Pega Cloud at Catamaran

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Processing one in every five prescription claims in the U.S., Catamaran helps organizations and the communities they serve take control of prescription drug costs. This includes finding smarter, more efficient ways to handle suspicious prescription activity. As the industry’s fastest-growing pharmacy benefits manager, Catamaran got exceptionally fast results by deploying Pega healthcare management solutions to streamline suspicious case processing.

  • How Catamaran easily adopted Pega and moved to a rapid delivery model, deploying initiatives in less than four months
  • How the recent Pega deployments improve and simplify suspicious case handling for Commercial and Medicare Part D members
  • How the cloud-based deployment is saving time and expense, plus handling PHI submitted by pharmacies. physicians and patients


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