Pega for Healthcare

Personalizing engagement for better health outcomes.

Improve Adherence

Make smart marketing your competitive advantage

Your competitors have arrived – and they’re not just coming from within the traditional healthcare sector. To hold your own against the Amazons of the world, you’ll need to think like a retailer: more proactive, more personalized, and more targeted.

When you launch a campaign, you need to make sure you’re reaching your target audience in a way that speaks to them. You should know their journeys inside and out. Anticipate their needs. Ask the right questions. And deliver an outstanding, tailored experience on their channel of choice, whether that’s in the pharmacy, on the phone, or online.

Sounds challenging, right? Don’t worry: Pega is here to help. Our proven AI technology, combined with our ability to process data in real time, powers a marketing solution that delivers the kind of personalized, guided engagement that boosts adherence on every channel, every time. So you’ll always have the tools you need to outshine the competition.

Data Sheet

Pega Next-Best-Action Marketing for Healthcare

Going far beyond a streamlined healthcare management system, Next-Best-Action Marketing leverages sophisticated analytics and real-time decisioning.

Learn More
Case Study

Personalized Care Improves Health Outcomes

This PBM leader deployed two Pega apps for personalized care at all patient touch points.

View Case Study

Deliver Personalized Experiences

Know patients well. Help them stay well.

If only you could know everything about every patient. But in reality, each has a different issue, a different medication, a different history. Multiply that complexity across all of your interactions, and personalized care at scale seems impossible.

You can’t know everything, or everyone. But you don’t have to. Pega’s customer service technology goes beyond a 360-degree view to deliver AI-driven insights that can be actioned in the moment – starting in any channel and continuing in any other. You’ll know their context instantly, and our decision hub will give you the guidance you need. Smart automation simplifies and streamlines, making great service both fast and easy.

That means you can deliver clinical counseling and medical therapy management that’s relevant for each patient. And, ultimately, better health for everyone.

Engage Patients at Light Speed

Put the “care” back in healthcare

Yes, you can be both fast and caring at the same time. Targeted personalized medicine at scale and operational efficiency don’t have to be a conflict for your organization. By bringing agility, automation and mass customization to your organizational processes you can deliver that personal touch to every patient, no matter how many you have.

Pega’s Care Management and Customer Service applications use an always-on AI brain to sense and respond to patient events, such as claims, and survey information in real time. We take the guesswork out of clinical counseling and medical therapy management – so exceptional care can work in tandem with adherence and cost savings.

Product Demo | 1:47

Pega Customer Service For Healthcare

Pega’s award-winning clients deliver satisfying, efficient, and accurate customer service to their connected members and providers.

Watch Now
Whiteboard | 2:43

Build for Change: Directly capture objectives (DCO)

As the requirements change, a change in the model equates to an immediate system change.

Watch Now

Achieve New Levels of Operational Excellence

Robots alone aren’t enough

To transform your digital processes, you need to think end-to-end. Disparate and disconnected point solutions won’t get the job done. While bots are cool, if your only automation strategy is “deploying a bunch of robots,” you won’t get far. You need to reduce the cost of delivering service and be smart about your approach.

According to McKinsey, the best automation strategies start by “taking an end-to-end view of the outcome needed,” and applying the right technology to the right problem.

That’s why Pega offers the industry’s only unified digital process automation platform, with robotics, process automation, and case management together in a single architecture. We build in powerful decision analytics, so you’ll have everything you need to automate any process. Move as fast as any point solution – faster, even – and still deliver end-to-end results that drive costs down and push patient and provider satisfaction sky high.

Personalizing engagement for better health outcomes

Explore featured applications and solutions for pharmacy benefit managers:

Customer Service for Healthcare

Engage across the healthcare continuum.

Explore

Sales Automation for Healthcare

Convert more prospects to customers.

Explore

Pega Care Management

Collaborate and coordinate for improved outcomes.

Explore

Pega Product Composer System for Healthcare

Innovate, deliver, and evolve.

Explore

Get Pega for Pharmacy Benefit Managers

Let us show you how Pega can help your business.