BlueCross BlueShield of Tennessee Selects Pegasystems to Further Improve Quality and Value of Healthcare

CAMBRIDGE, Mass.--(Marketwire - May 3, 2010) -  Pegasystems Inc. (NASDAQ: PEGA), the leader in Business Process Management (BPM) software solutions, today announced that BlueCross BlueShield of Tennessee (BlueCross) has selected Pegasystems' SmartBPM Suite, including Customer Process Manager (CPM) for Healthcare, to gain important efficiencies in its wellness and disease management programs. 

Widely respected for its smart use of technology in ensuring quality healthcare products, services and information, BlueCross will be deploying CPM for Healthcare's automated campaign management functionality to extend its care management services. In addition, BlueCross will be implementing the Milliman CareWebQI Integration Solution from Pegasystems to seamlessly bring leading industry clinical content and rules to the point of use, driving greater speed, quality and automation to the care management process.

"For some time now, industry experts have been saying that integrated, rule-driven workflow is critical for care management success. But the solutions out there are known for their clinical content and not their technology," said David Marckel, VP of Enterprise Applications at BlueCross. "Getting the combination of healthcare functionality and BPM strength in one technology made adding Pegasystems to our IT infrastructure a simple decision."

The first in a series of BPM deployments set for rapid rollout within BlueCross is an employee servicing backbone to automate the IT demand management process, an internal process for requesting and prioritizing IT project support. Gaining greater visibility and control over IT project prioritization will enable BlueCross to accelerate innovation and become even more responsive to customer needs.

"BlueCross BlueShield of Tennessee is taking strong steps to help address our nation's need to control healthcare costs and improve quality of care," said Elizabeth Hart, Healthcare Principal, at Pegasystems. "Wrapping its current systems with cutting-edge technology and leveraging SmartBPM strategically across multiple functions and departments will rapidly provide BlueCross new capabilities to create increased value. BlueCross' leadership is especially critical now, as the industry enters a new evolutionary phase heralded in by reform."

Pegasystems' Healthcare solutions are deployed at five of the six largest healthcare payers and touch more than 130 million individuals, including almost 60 percent of all Blues members, nationwide. For more information on Pegasystems' Healthcare offerings, please visit https://www.pega.com/industries/healthcare/

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About BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee offers its clients peace of mind through affordable solutions for health and healing, life and living. Founded in 1945, the Chattanooga-based company is focused on reinventing the health plan for its 3 million members. Through its personal health advocacy approach, BlueCross is developing patient-centric products and services that positively impact affordability, patient safety and quality. BlueCross BlueShield of Tennessee Inc. is an independent licensee of the BlueCross BlueShield Association. For more information, visit the company's Web site at www.bcbst.com.

About Pegasystems

Pegasystems (NASDAQ: PEGA) develops strategic applications for marketing, sales, service, and operations. Pega’s applications streamline critical business operations, connect enterprises to their customers seamlessly in real-time across channels, and adapt to meet rapidly changing requirements. Pega’s Global 3000 customers include many of the world’s most sophisticated and successful enterprises. Pega’s applications, available in the cloud or on-premises, are built on its unified Pega 7 platform, which uses visual tools to easily extend and change applications to meet clients’ strategic business needs. Pega’s clients report that Pega gives them the fastest time to value, extremely rapid deployment, efficient re-use, and global scale. For more information, please visit us at www.pega.com.

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The information contained in this press release is not a commitment, promise, or legal obligation to deliver any material, code or functionality. The development, release and timing of any features or functionality described remains at the sole discretion of Pegasystems, Pegasystems specifically disclaims any liability with respect to this information.

 

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