The Life HMS

The need to stay ahead in a competitive market and minimize costs while improving the member experience has resulted in significant changes in the payer value chain, encompassing sales, marketing, operations, care management, provider management, member management, IT, and finance and compliance. In order to stay competitive, healthcare organizations are increasingly relying on data-driven insights to develop and execute strategies - making "competing on analytics" a key focus area. The Life HMS supports payers in accelerating their innovation agenda, differentiating their products and services, enhancing customer experience, and streamlining operations with actionable insights derived from BIG DATA and skilled data scientists. This is especially beneficial in light of the challenges posed by the Patient Protection and Affordable Care Act (PPACA) mandate, medical loss ratio (MLR), and the increasing popularity of health insurance exchanges, which may lead to loss of members for health plans.