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Oracle Health Insurance

Oracle Health Insurance

Oracle Health Insurance

Delivers operational efficiency, cost reduction, and flexibility to adapt to market and regulatory demands.

 

Modernizing Healthcare Payers

Healthcare in many parts of the world is changing rapidly. An aging population has increased demand for services and the need to manage healthcare plans and benefits. Unfortunately, costs continue to soar, and payers are faced with the need to keep premiums low while providing adequate coverage. As the focus in the future is on patient outcomes and decreasing costs, health insurers need to embrace transformation to digital health and adopt the right technology platform.

Oracle Health Insurance (OHI) is a product line of best-in-class applications for insurers seeking transformation on their own terms. Health insurers decide whether they want to implement individual components or as a full suite, either on-premise or on the cloud. OHI provides health insurers with flexible, modern technology to accelerate speed to market, reduce overall risk and prepare for the new business paradigm.


Related Resources

  • Health Insurance Transformation Video

    Watch this short video to learn how health insurers can meet their goals for growth and profitability, accelerate time to market and reduce risk while improving service.

    Watch the video
  • Transform to Restore Profitable Growth

    See why healthcare payers must transform their operations using modern technology to reduce costs and increase margins.

    View the infographic (PDF)
  • Digital Transformation Piece by Piece

    This paper discusses a practical strategy for healthcare payers to transform their organizations cost effectively with minimal risk: one component at a time.

    Read the paper
  • Six Ways Adaptive IT Systems Are Driving Healthcare Transformation

    This paper highlights six technical capabilities of adaptive health IT systems and illustrate how each capability can help payers undergo transformation.

    Read the brief
  • Reduce Medical Loss Ratio

    Learn how Oracle Health Insurance Components can provide the flexibility to achieve operational excellence.

    Read the paper
  • Building the Healthcare System of the Future

    Explore the right technology roadmap for healthcare providers and payers to build a platform for the future.

    Read the paper

Additional Resources and Data Sheets

  • Oracle Solutions for Healthcare Payers

    Get an overview of Oracle's transformative Core Administrative Processing Solutions (CAPS) for healthcare payers .

    Read the data sheet
  • Considering Prospective Bundling

    Learn how Oracle Health Insurance Value-Based Payments can help ease the transition to prospective bundled payments.

    Read the blog
  • The Role of Bundled Payments

    Examine the advantages and disadvantages of the bundled payments reimbursement model.

    Read the paper
  • VGZ Saves with OHI Technology

    VGZ discusses the challenges facing the healthcare insurance industry in Netherlands and how they are reducing overall costs.

    Watch the video (1:52)
  • Harvard Pilgrim Health Care Story

    Harvard Pilgrim Health Care meets the demands of a changing healthcare market with the Oracle Health Insurance claims engine.

    Watch the video (2:37)
  • Efficient Billing for Healthcare Payers

    Get an overview of Oracle's enterprise premium billing capabilities.

    Read the brochure (PDF)
  • The Efficient Billing Imperative

    Learn more about Oracle Revenue Management and Billing for Healthcare Payers features and functions.

    Read the ebook (PDF)
  • Take Premium Billing to the Cloud

    See how modern premium billing in the cloud leads to improved customer satisfaction.

    See the infographic (PDF)
  • Oracle Health Insurance Components

    Read the complete features of Oracle Health Insurance Components.

    Read the data sheet (PDF)
  • Oracle Health Insurance Enterprise Policy Administration

    Read the complete features of Oracle Health Insurance Enterprise Policy Administration.

    Read the data sheet (PDF)
  • Oracle Health Insurance Claims Adjudication

    Read the complete features of Oracle Health Insurance Claims Adjudication.

    Read the data sheet (PDF)
  • Oracle Health Insurance Claims Pricing

    Read the complete features of Oracle Health Insurance Claims Pricing.

    Read the data sheet (PDF)
  • Oracle Health Insurance Enterprise Commissions

    Read the complete features of Oracle Health Insurance Enterprise Commissions.

    Read the data sheet (PDF)
  • Oracle Health Insurance Authorizations

    Read the complete features of Oracle Health Insurance Authorizations.

    Read the data sheet (PDF)
  • Oracle Health Insurance Enterprise Rating

    Read the complete features of Oracle Health Insurance Enterprise Rating.

    Read the data sheet (PDF)

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