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Oracle Health Insurance Solutions

Simplifying your innovation journey and connecting the lives of the members you serve.

Why Oracle Health Insurance Technology?

Oracle wants to partner with you to help accelerate your health insurance innovation journey. We offer an end-to-end core administrative platform for small and large health plans to modernize their systems at scale, introduce new products quickly, grow enrollments, and increase market share. The Oracle Health Insurance Platform offers componentized and transparent applications for a better member experience.

Webinar
Gain insights on how to modernize systems at scale, introduce new products quickly, and grow enrollments with Oracle’s Health Insurance Webinar Series.

HLTH: Navigating through the Data Interoperability Challenge

This year created a greater data challenge for health insurers and providers due to the impact of COVID-19, implementation of the 21st Century Cures Act, and the FHIR Data Interoperability standards.

Please join Rajeev Ronanki, Chief Digital Officer at Anthem, Vijay Venkatesan, Chief Analytics Officer at Horizon BCBSNJ, and Pam Fleury, Senior Director of Product Management at Oracle to learn more about best practices and ways to improve healthcare delivery and give patients greater visibility into their care journeys.

Why Medicare Advantage Plans Need to Double Down on Modernization

Understand how Oracle Health Insurance can help you drive efficient operations and enhance the customer experience in a move toward modernization.

Modernizing Claims Processing and Adjudication for Health Insurers

When it comes to claims management, few areas of the healthcare lifecycle deliver greater opportunity and risk. Learn why claims management and adjudication are ripe for health insurance innovation.

Simplifying Health Insurance Innovation

Health Insurance technology is essential to keep pace with the rapidly transforming industry. Discover how the Oracle Health Insurance Cloud Services offer rich functionality and flexibility for operational efficiency, an easy to manage health insurance platform for growth and scalability and transparent member engagements.

IDC Research: Trends in Digital Transformation and Member Engagements for Health Insurers

Oracle is integrating comprehensive core administrative processing and personalized proactive member health engagement in an ecosystem with partners such as dacadoo. The Oracle Health Insurance Platform uses a core administration engine and mobile health insurance technology in a cloud-based, closed-loop architecture to modernize operations, predictable risk, preventive health, and increased member engagement.

Customer Innovation Stories: Oracle Health Insurance empowers customers to pursue innovation, capture opportunities, and focus on the future by modernizing their operations from the front to the back office.

Customer Success Stories

Harvard logo

Harvard Pilgrim HealthCare Increased Auto Adjudication Rate to 92 Percent and Reduced Claims Cost

 

Harvard Pilgrim HealthCare

In our new environment with Oracle, we're achieving 90-92 percent auto-adjudication. That means we don't need humans to touch those claims and means those claims are processed more accurately.
Deborah Norton, CIO and SVP of IT and Operations, Harvard Pilgrim HealthCare
Humana logo

Humana discusses the advantages of implementing a modularized claims solution using Oracle Health Insurance

 

Humana

In the marketplace that was the only solution that allowed us to implement a claims solution without having to implement a totally integrated solution.
Mike Wheatley, Associate Vice President, Humana
Defence Health logo

Defence Health leverages the flexibility of Oracle Health Insurance to bring products to market more quickly

 

Defence Health

Oracle was rated very highly for its modularization, configuration and flexibility.
Joanne Kadlecik, COO, Defence Health Limited
Liberty Health logo

Liberty Health Future-Proofs its Organization with Oracle Health Insurance

 

Liberty Health

We keep on reinvesting in Oracle because of the successes we’ve had in the past.
Christo Groenewald Divisional Director, Health Business Enablement, Liberty Health
Oracle Health Insurance Innovation Products

Flexible. Scalable. Transparent.

  • Flexibility to manage business rules for different lines of business on a single platform
  • Scalable for small and large health to create products quickly, grow enrollments, and increase market share
  • Transparent for claim adjudications and claims processing for a better member experience
  • All on the cloud that is secure and affordable
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Health Insurance Blogs