solution

Forever Blue - Expand your Medicare Advantage enrollment and renewals

As the healthcare landscape evolves, organizations face increasing pressure to adapt and innovate. The transition to Medicare Advantage presents significant opportunities for growth and member retention. With the right strategies in place, healthcare payers can enhance their member engagement and streamline their enrollment processes. At Virtusa, we are committed to helping you navigate this complex journey through our transformative solutions that leverage predictive analytics and AI.

medicare advantage enrollment - challenges
Challenges

Healthcare payers face critical challenges in growing and retaining members during the transition to Medicare Advantage. This multifaceted process includes various opportunities throughout the member lifecycle, such as:

  • Transitioning commercial members to Medicare
  • Existing Medicare members changing healthcare providers during open enrollment
  • Current members renewing their plans

Relying on fragmented marketing programs and lacking insights into member sentiment can result in missed opportunities and the loss of valuable members to competitors.

The solution

Virtusa’s Medicare Advantage Solution is designed to empower healthcare organizations to expand their Medicare Advantage business through:

  • Data aggregation and analytics: Centralizing and analyzing member data to predict churn and identify growth opportunities.
  • Digital transformation: Utilizing market-ready digital platforms to respond to member needs effectively.
  • Intelligent automation: Streamlining processes to enhance member transitions.

Our modular, multi-phase implementation approach begins with establishing an in-house marketing data store to support targeted campaigns. With real-time access to data, marketing teams can execute effective outreach and enhance the transition process.

Medicare advantage enrollment - solution
Key modules

Our application is structured around six independent modules focusing on essential sales and marketing processes:

  • Broker management: Streamlines broker interactions and management.
  • Campaign management: Launch targeted campaigns based on processed data. 
  • Opportunity management: Convert leads into opportunities with insights on win probabilities. 
  • Quote generation and underwriting: Generate multiple quotes and manage underwriting seamlessly. 
  • Enrollment and setup: Automate member setup and billing processes.
  • Communications management: Manage correspondence with prospects, members, and brokers using customizable templates. 

The healthcare industry is at a pivotal point, and Virtusa is committed to driving innovation across healthcare journeys for patients, providers, and payers. Our solutions not only streamline operations but also enhance the overall experience for all stakeholders.

Revolutionizing Healthcare with Cutting-Edge Solutions

Drive innovation and improve patient care with advanced digital engineering and AI-powered solutions tailored for the healthcare industry.

 

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