PW 2013 Presentation: How CareFirst is Using Pega to Operationalize Health Benefit Exchanges

The impending "go-live" of Health Benefit Exchanges and the rise of consumerism itself are placing stringent new demands on product development, innovation, transparency and exchange activities for healthcare organizations. Designed for enterprise-use, Pega's Product Composer System (PCS) solves these challenges by providing structure and maximizing re-use throughout the product lifecycle. An active user of Pega technology, Carefirst has been deploying PCS to streamline its product development and maintenance, modernize its product library, and extend its legacy adjudication platforms.

  • How PCS is streamlining CareFirst's benefit load into FACETS and NASCO
  • How PCS is providing a unified source of truth for internal users and health benefit exchanges
  • How PCS is being used by health payers today and what's on tap for future releases


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