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Healthcare provider solutions

Transform patient experience – while driving engagement and outcomes

Every patient interaction matters

Healthcare needs to be personal, but it can be overwhelming. When healthcare providers engage patients in their health, they see better results. Improve outcomes at every step of an individual’s health journey using AI to drive real-time interactions and consistent experiences – on any channel, at any time.
Drive loyalty and retention

Get to know your patients better

82% of consumers will switch doctors due to poor engagement. Use real-time AI to personalize experiences, proactively outreach, and compellingly engage patients in their health and well-being – building trust and loyalty.

Simplify patient acquisition

Make it easier for patients to choose you

During challenging times, set the right tone by engaging patients in exactly the way they need, at the exact moment they need you. Let next-best-action decisioning recruit your forever patients.

Activate a digital front door

Drive relevant actions to stay well or get better

For Healthcare organizations to remain competitive, they need to deliver a wholly connected and digital patient journey. Use real-time personalization to deliver proactive patient engagement, better patient interactions and consistent digital front door experiences.

Delight patients by simply delivering service and care

In times of need, your patients want simplified journeys to help them get well. Use AI-driven service and care solutions to personalize interactions, automate access to knowledge and insight, and remove barriers to care to free up agents to proactively serve and focus on patients – not processes.
Activate care navigation

Empower patients in their care

Put patients at the center by simplifying care navigation and using IoT and SDoH data to drive better patient outcomes. Use patient-centric views to enhance care team coordination and planning to support the most vulnerable patients in their care journeys.

Personalize interactions

Experience personalized and prioritized healthcare

Meet patients where they are with relevant, personalized interactions. With AI-driven proactive patient service, you can easily coordinate interactions on any channel – from phone and email to online chat and self-service.

Collaborate across care teams

Empower teams to deliver the best care

Healthcare needs real-time care delivery models that enable greater collaboration. Our AI-powered care navigation puts the patient at the center while orchestrating needs across care teams.

Reduce care gaps

Guide patient needs to drive improved outcomes

As Healthcare moves toward value-based care, closing care gaps and engaging patients in their care are essential. It’s time to start driving patient health with automated tasks, guided workflows, and real-time decisioning.

Optimize operations

Don’t let admin tasks distract you from what matters – delivering proactive, personalized care. Use the industry’s only AI-driven intelligent automation platform, combining robotics and case management in a unified architecture – so you can get back to focusing on patients and delivering excellent care.
Orchestrate across ecosystems

Achieve new levels of operational excellence

Technology can’t work in isolation. If you’re duplicating efforts across systems, you’re losing out on time that could be spent with patients. Remove barriers to operational excellence with process automation.

Extend EMR capabilities effortlessly

Get more from your electronic medical record system

Say goodbye to multiple legacy EMR systems. Streamline and extend functions by wrapping around your existing EMRs – so you can offer a comprehensive set of care programs that improve patient care quality and lower costs.

Modernize denials processes

Get paid for services rendered without the complexity

To maximize reimbursement rates, gaps in processes that lead to denials need to be identified rapidly. Identify and resolve gaps within your organization with process automation and guided workflows.

Maximize reimbursement rates
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Analyst Report

Pega is a Leader in Healthcare CRM Find out what makes Pega a Leader in the Forrester Wave™: Healthcare CRM Providers.

Proven solutions. Flawless healthcare consumer experiences.

Pega Customer Decision Hub

Get AI-powered, real-time, omni-channel engagement across the healthcare continuum – with software that anticipates what your patients need next.

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Pega Customer Service for Healthcare

Serve patients proactively with the personalized interactions they want, on any channel.

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Pega Care Management

Enable personalized care planning to drive optimal outcomes – all with AI-powered, real-time, omni-channel care navigation.

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Pega Platform

Intelligent automation for legacy system agility, provider data and contract management, denials management, and chargemaster requests.

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Ready to get started? We can’t wait to show you what’s possible with Pega. Request a demo