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Oracle in Healthcare Payer

Oracle in Healthcare Payer

Streamline financial operations, optimize per-member-per month spend and medical loss ratios, and manage health plans to adapt quickly to ongoing member needs and market and regulatory demands.

Oracle Healthcare Payer Features

How Oracle Cloud solutions help

Why Oracle

  • Drive speed to market by moving workloads and business processes to the cloud
  • Access latest technology updates and scale real-time innovation
  • Break siloes, enable transparency, and improve collaboration to drive growth
  • Improve health outcomes and reduce cost of healthcare through a coordinated care experience
  • Enable a consistent view of key performance metrics (KPIs) across all lines of business

Product Development

Increase market share and improve member experiences through accelerated product launches

  • Accelerate plan innovation and drive competitive advantage
  • Increase speed to market and development of new health and wellness offerings
  • Improve health outcomes and enhance member satisfaction

Marketing and Sales

Increase member acquisition and enhance retention through optimized conversion across the marketing and sales funnel

  • Drive membership growth through targeted enrollment, and health and wellness campaigns
  • Reduce lead leakage and optimize cost per conversion with marketing and sales alignment
  • Enhance the brand with personalized and consistent omnichannel experiences

Activation and Processing

Modernize infrastructure to simplify IT, increase operational efficiency, and reduce cost of care

  • Simplify member onboarding, activation, and access to care
  • Reduce operational costs by automating enrollment, billing, and prior authorization
  • Achieve higher operational efficiency, simplify IT, and adapt to dynamic market and regulatory demands

Customer Service

Gain a holistic view of every customer interaction across your business and become the trusted advisor

  • Improve health plan ratings and net promoter score
  • Deliver personalized, consistent, and coordinated experiences for members
  • Enable a Trusted Advisor experience for members and providers