Empowering health plans with innovative IT solutions for seamless operations and exceptional member experiences.
Drive digital transformation and improve member experience
Elevate your operational capabilities and enhance member engagement through our expert IT consulting services, meticulously tailored for health plans.
We specialize in the strategic optimization of administrative workflows and the implementation of advanced technological solutions, equipping health plans to excel in a complex and rapidly changing healthcare environment.
Our approach is grounded in a commitment to operational efficiency, regulatory compliance, and innovative practices, positioning us as your trusted advisor in navigating the multifaceted challenges of healthcare IT. Together, we will drive sustainable growth and foster exceptional member satisfaction, ensuring your organization remains at the forefront of the industry.
Govt. Programs
YRDTech is uniquely positioned to drive growth and provide sustainable value for payer government business. Our offerings for government programs include omnichannel member engagement, outcome-driven provider engagement, SDoH data and insights, interoperability, compliance programs and audits.
Our technology solutions for health plans are complemented by healthcare consulting solutions around digital innovation, core system performance, member engagement and regulatory compliance (HEDIS®, Star).
Member Experience
YRDTech builds end-to-end solutions for mobile-first engagements, personalized member analytics, self-service portals and omni-channel member management. We have an extensive portfolio of consulting, engineering, data and analytics offerings that enable payers to transform member experience, create longitudinal member profiles and drive member self-management.
We also help drive next gen initiatives – including experience engineering using AI/ML, payment integrity solutions, member profiling and segmentation, performance analytics and member management operations (including CRM platform integration with key workflows like care gaps, member outreach).
Data & Analytics
YRDTech’s portfolio of healthcare consulting, digital engineering services and data accelerators provide payers a competitive edge in a constantly evolving healthcare industry by engaging stakeholders, streamlining organizational workflows and maximizing data access.
We have deep expertise across modern data platforms, payer-provider convergence, personalized care delivery, member analytics, precision reimbursements, value-based analytics and payment integrity solutions.
Clinical Solutions
Payer organizations need to leverage data-driven insights to improve clinical, operational & financial outcomes in a targeted way, to enhance quality of care, utilization metrics, value-based contract performance and member & provider engagement.
YRDTech provides comprehensive solutions and specialized products that enable health plans to enhance clinical program performance (HEDIS, Stars, risk, PHM), optimize care management workflows, ensure regulatory compliance, establish payment transparency and influence member & provider behavior, to improve outcomes and drive ROI-based campaigns.
Operations Optimization
YRDTech enables payers to implement strategic & digital frameworks for effective alignment of business functions, leading to significant improvements in cost and quality – across key processes such as claims management, care management, enrolment & billing, member portals and network management.
We follow design-driven process improvements and Agile delivery methodologies to ensure faster and cost-efficient execution of operations and reduce time-to-market. We also help you develop streaming analytics and AI/ML models for automated, data-driven insights.
