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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?

Oracle Health Insurance wants to partner with you to help accelerate your 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. Oracle offers componentized and transparent applications for a better member experience across their healthcare journey.

Webinar with AHIP—Healthcare Billing: COVID-19 Impacts, Industry Consolidation, and Modernization Agenda

Available On Demand

Over the past few years, several key issues have affected health insurance providers—from industry consolidation to the COVID-19 crisis. Join experts from Deloitte, RIA Advisory, and Oracle who will discuss how health insurance providers have reacted to the current crisis, impacts of industry consolidation between health insurance providers and PBM’s, and critical guidance on modernizing healthcare billing.

Simplifying Cloud Innovation

Healthcare innovation is essential to keep pace with the rapidly transforming industry. Discover how Oracle Health Insurance Cloud Services offer rich functionality and flexibility for operational efficiency, easy to manage systems 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. Oracle’s solution uses a core administration engine and a mobile health platform 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 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 athe cloud that is secure and affordable
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Health Insurance Blogs