PW 2014 Video: UnitedHealth Group Merges Pega Technology, Agile Development & Six Sigma Focus in New Physician Contracting Application

ANGELA DEBAERE, SENIOR DIRECTOR, PROVIDER CONTRACT AND DATA MANAGEMENT, UNITEDHEALTH GROUP
ERIC BLAD, DIRECTOR, PROVIDER CONTRACT AND DATA MANAGEMENT, UNITEDHEALTH GROUP

UnitedHealth Group, the largest healthcare insurance company in the U.S., provides consumer-oriented health benefit plans and services through the company's UnitedHealthcare segment, which contracts with a network of 780,000 physicians and other healthcare professionals along with 5,900 hospitals. PhyCon, powered by Pega technology, is a single, end-to-end application that supports physician contracting operations and provider demographic maintenance for nearly 4,000 users executing more than 3 million transactions annually. Designed to meet key drivers of process simplification, quality and compliance improvements and user satisfaction (both internal staff and providers), PhyCon is hitting the mark with homeruns like 90% reduction in the turnaround time for provider terminations.

In this session you will learn:

  • How UHG blended advice from its COE, its quality experts and Pega to optimize processes and reduce waste
  • The importance of putting process first, reusing best practices and having business lead DCO sessions
  • How the project team modified its approach over releases yielding strong results despite ongoing design changes