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Integrated Solutions to Drive Better Health Outcomes

Now more than ever, there is an opportunity to radically transform the healthcare landscape through innovation — to invest in integrated solutions that champion seamless care delivery, provide better health outcomes, and improve member, employer, and provider experiences. 

By leveraging advanced technology and insights gained through data, healthcare companies can improve care, increase efficiency, reduce costs, and deliver better outcomes. CapTech helps our healthcare clients transform their organization with digital solutions that drive the future of healthcare experiences.

Healthcare Services Delivery Model

Data & Insights 

  • Claims Analysis / Machine Learning / AI​
  • Patient and Provider Data Warehouses ​
  • Disease Management and Program Consolidation​
  • Dashboard and Visualizations​
  • Data Automation​

Digital Experience

  • Mobile Design / Development for Patients and NPs​
  • Application Design for Medical Coders​
  • Website Design and Development for Payers and Providers​
  • Website Accessibility and Usability Testing​
  • Digital Front Door and Omnichannel​

Compliance & Integrity

  • Risk Adjustment and Revenue Integrity 
  • Large Program Risk Assessments and Recommendations​
  • Customer Data Privacy (CCPA)​
  • Claims Fraud/Waste/ Abuse Identification and Remediation​
  • Risk Adjusted Scoring​
  • Internal Risk and Controls​

Systems Integration

  • Health Exchange Development and Integration​
  • CMS Interoperability​
  • SaaS Application Development​
  • SaaS Integration​
  • Health Cloud Assessment and Migration​

Strategy & Management

  • Program Management for Healthcare Reform Changes and ICD-10​
  • Agile Transformation​
  • Organizational Change Management (OCM)​
  • Technology and Sourcing Strategy​
  • Process Engineering and Improvement​

      

Technology is Transforming the Healthcare Experience

Our latest Healthcare Trends report explores how technology modernization can foster improvements to the member, employer, and provider experiences. 

CapTech has identified key areas in the healthcare industry in which we project continued and increased investment and evolution as the result of new and emerging technologies.

Read more about the trends we identified and their impact on the healthcare industry by clicking the link below.

Download now

Client Success Spotlight

Harnessing the Power of Data and Analytics Through the Cloud

When a top 10 U.S. healthcare company faced challenges in its claims processing and fraud waste, as well as its abuse detection process, it partnered with CapTech to analyze the issue and engineer a cloud-based solution. Because the predictive models in place were tied to on-premise systems that resulted in slow processing and timeline delays in delivering new models, the client looked to CapTech for a solution following an in-depth analysis.

Results:​

  • A new cloud-based platform that decreased model delivery timelines by 60%
  • 16 times more reliable model deliveries
  • 63% faster load times 
  • A more accurate anomaly detection process 
  • A training plan and roadmap that allowed the client’s IT team to develop necessary skills to manage and maintain the cloud platform

Read the full story

Latest Healthcare Insights

Jason Leonard

Principal, Healthcare & Public Services Portfolio Lead

Jason co-leads CapTech’s healthcare and public services portfolios, empowering consultant and client teams to innovate and develop scalable solutions that improve the customer experience and produce extraordinary results for our clients.

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Adam Hofheimer

Adam Hofheimer

Principal, Healthcare & Public Services Portfolio Lead

Adam co-leads CapTech’s healthcare and public services portfolios, supporting strategy, relationship and business development. His deep technical experience and industry expertise drive solutions and growth for our clients.

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Adam Auerbach

Director

Adam is a Director at CapTech and a leader in our healthcare portfolio. He specializes in healthcare innovation, digital transformation, and implementing best practices across our client partners. Additionally, as a thought leader, Adam brings novel solutions to help clients solve their most complex business challenges.

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