Focus on accountability, quality outcomes and affordability have led to structural changes in the Healthcare industry. As the thrust of Healthcare changes from fee-for-volume to fee-for-value, all players in the ecosystem must re-examine their models. Two factors critical for delivering cost effective and high quality care are a robust system to deliver Healthcare services and products, and a sustainable reimbursement model to cover the costs of care.

How Wipro Helps

We help you evolve your models, so you can take your place in an integrated Healthcare ecosystem. We are uniquely positioned to do this because we work across the value chain - from Health and Human Services (HHS) to care delivery, distribution and pharmacy benefit management (PBM).

Our team of experts delivers large scale transformation programs that:

  • Improve patient/member centricity
  • Enhance customer experience
  • Reduce costs
  • Boost operational efficiencies
  • Our Global Footprint

    Healthcare IT Solutions

    12000-plus Healthcare associates across the globe, including MDs, PhDs, RNs, healthcare architects, program and project managers.

    100-plus global Healthcare majors:

    • 2 of the top 5 US Health Systems
    • 2 of the top 3 diagnostics labs
    • 8 of the top 10 commercial Health plans
    • 25-plus years of experience as Medicaid Fiscal Agent with a mid-western US state and more than 100 Medicare Advantage and Dual plans
    • One of the world's largest Medical Distributor
    • One of the world's largest Retail Pharmacies and PBMs

    240-plus Hospitals and 1000-plus Clinics in Asia Pacific

    Value Delivered

    Claims Processing Services
    • Help settle more than $15 billion claims annually
    • Run one of the world's largest e-governance Health-IT program in India touching 50-plus million lives
    • Process 120-plus million claims annually (medical, dental, drugs, vision and behavior claims)
    • Enable single view of patient for seamless care delivery
    • Reduce patient length of stay by 30%
    • Improve physician productivity by 20%
    • Reduce cost per claim audited by 65%
    • Manage 800,000-plus Medicaid beneficiaries and 40,000-plus Medicaid providers
    • Improve Auto Adjudication Rate from 60% to 83%
    • Handle more than 10 million member and provider calls annually with average response speed of less than 40 seconds

    Delivered more than $44 million in annual savings on claims operating costs for a major US health plan

Areas Covered

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Industry leading Platforms:

  • SaaS-based Medicare Advantage Platform (10-plus million Medicare beneficiaries)
  • Exclusive Duals partner (5 states in production - CA, MA, IL, VA, and OH) for MMP CMS Submission/Processing
  • End-to-End managed Medicaid and integrated eligibility and enrollment platform for State Health/Medicaid programs
  • Wipro Hospital Information System (HIS) - APAC market

Wipro 360 Digital Patient Centricity Solutions:

  • Digital Patient & Member Engagement
  • HIPAA Compliant Global Radiology Support Center

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Advanced Technology Solutions:

  • Healthcare Big Data Analytics - Re-admission Risk, Staff Scheduling, Revenue Assurance, Fraud, Waste and Abuse, Population Health, Supply Chain
  • Wipro Cloud and Mobility
  • Wipro Digital
  • Wipro EcoEnergy

Mainstream Services:

  • ICD 10 Compliance & Quality Assurance
  • Electronic Medical Record Services - meaningful use reporting, Testing, implementation, clinical helpdesk
  • Health Insurance Exchange Services
  • Healthcare Domain Consulting
  • Claims Legacy Modernization Services
  • IT Application Managed Services
  • IT Infrastructure Technology Transformation
  • Business Process Services - HR, finance and accounting, Revenue Cycle Management