Presentation

PW 2014 Presentation: WellPoint Improves Customer Satisfaction and Compliance for Medicaid Members

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  • 1.79 MB

KRISTEN YOUNKINS, DIRECTOR, COMPLIANCE AND ACCREDITATION, WELLPOINT

With regulations, regulated markets and the volume of complaints on the rise, the time was right for Wellpoint's Medicaid Division to deploy Pega and replace disparate systems and disjointed process with a single platform for appeals management. Pega now controls and streamlines this critical function, improving interactions with members and providers alike, while also ensuring regulatory compliance.

In this session you will learn:

  • How process-driven automation delivers compliance while also providing transparency for regulators
  • The power of Pega to provide specialization and accelerate deployments of roll-outs for new markets and programs
  • How Wellpoint uses Pega across service, appeals and authorizations to engage members and simplify their healthcare.


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