Composable, Scalable Healthcare Payer Experiences for Every Member
The right cloud-based, healthcare-ready solutions deliver personalized experiences for your members, member services, other employees, and partners—without disrupting your IT team, employee productivity, or member relationship systems.
Deliver Contextual Connections
Make interactions seamless and intuitive by leveraging history, data, and useful self-help options.
Give Your Team Superpowers
Enable your member services team to solve problems in the moment. Access your extended care community to bring in the right resource at the right time.
Focus Services on Better Outcomes
Automate proactive reminders and follow-up video or phone calls. Provide supportive services that address social barriers and ongoing patient provide in-the-moment responsiveness to the unique and complex needs of your customers and employees.
Make it Always Secure
Establish your organization as a trusted resource. Integrate member services with your identity verification and authentication methods like facial biometrics or native-language processing.
Keep Supporting Remote Workers
Make working from anywhere a permanent option. Done right, you can cut costs and lift employee satisfaction.
Create Your Strategic Advantage
Attract talent and maintain loyalty by adopting a tech-first mindset and building the ecosystem to match.
Technology and Customization That Helps Achieve Your Top Goals
We take a deep look at two strategic priorities in the healthcare payer industry—reshaping customer experience and collaborative work—and explore the solutions you need to improve experiences and grow your business.
Members expect their needs to be met proactively and efficiently. They want your entire process to be relevant, secure, and above all, easy. Make it happen with AI-powered digital engagements that impel cross-functional collaboration.
Always-On Intelligent Collaboration
Employees need to communicate with each other, members, partners, and care teams via chat, voice, video, and meetings. Everyone must have secure, real-time access to relevant data. The latest workstream collaboration combines with workflows and productivity apps to improve the speed and accuracy of your communications.
Digital Co-Worker
With Conversational AI, virtual assistants can securely verify and authenticate a member’s identity and provide account info, plan coverages, care management guidelines, and other insurance support needs. These digital co-workers can accept inputs, check eligibility, route members to different departments or live agents, deliver notifications, and set up outreach campaigns.
Workforce Optimization
Help your team drive exceptional member services. Engage and empower employees when you break down information siloes, consolidate activities, and remove roadblocks to seamless collaboration, information sharing, and day-to-day task completion. Give your team the time and tools to focus on your members.
Where Are You in the Customer Experience Journey?
We partnered with Frost & Sullivan to explore the importance of customer experience in the success of healthcare insurers. Members and provider partners alike expect an experience that’s on par with best-in-class organizations. Take our Benchmark Survey to see how your current CX strategy stacks up.
Three Ways to Attain the Right Solutions to Align, Streamline, Innovate
1. Hybrid Cloud
Select your cloud-based solutions and your cloud provider as part of a holistic strategy to accelerate digital transformation. When most of your communications systems are on premises, making the move to a hybrid cloud platform that combines public and private services delivery options can be the most robust and rapid path.
2. Force-Multiplier Platforms
Move toward open, collaborative, secure, and regulatory compliant technology that reaches across the entire healthcare ecosystem. To keep members connected, and employees and integration partners engaged, invest in open, API-enabled, AI-powered cloud collaboration, and contact center solutions.
3. Composability
Build on top of your existing investments with a composable architecture. Using new APIs and advanced AI, healthcare payers are tapping the agility, speed, scalability, and innovation invented in the technology sector. It’s now feasible and fast to compose seamless and effortless experiences across applications, touchpoints, modalities, and personas.
Avaya OneCloud for Healthcare Payers
Avaya OneCloud can help you fundamentally transform member’s experiences. This AI-powered, multi-cloud experience platform combines our leading solutions, partner capabilities, and cloud platform. All available via our unique hybrid delivery architecture and powered by automation and layered innovation.
Automation and Self Service: Proactive notifications, speech and visual self-service, IVR, campaign and outbound management
Voice and Digital Channels: Video, voice, chat, SMS, messaging, social, co-browsing, and bring-your-own-channel
AI and Virtual Assistants: Sentiment analysis, knowledge management, and digital co-workers
Incorporate AI and analytics with resources from across your entire healthcare ecosystem to create customer and workforce engagement solutions that connect every touchpoint, on every channel.