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Pega Care Management For Healthcare

Pega’s Care Management Application helps you transform how you manage costs, coordinate services and improve outcomes, while providing person-centered care. With a unified platform, it manages care administration so you can focus on care delivery, connect care teams, and personalizes programs for better financial, operational and health outcomes.

The application makes it easy to connect with and engage your members, orchestrating care programs across back-end systems and every channel including: web self-service, healthcare devices, mobile applications, and phone calls. Actionable analytics reminds members to choose healthy behaviors and coordinate activities across the care team to deliver the best value care. Leverage packaged capabilities to automatically create activity documentation for compliance and quality management, plus automate referral and authorization requests to improve provider satisfaction, member satisfaction, and health outcomes. With Pega’s Care Management Application you can develop specialized programs rapidly because Pega dynamically creates context-aware, tailored care plans that automatically adjust the standardized plan to fit the situation.


Industry: Healthcare Product Area: Customer Service Product Area: Platform Solution Area: Customer Service Topic: Customer Service Topic: Workflow Automation

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