HULFT for the healthcare payer market
HULFT HEALTHCARE SOLUTIONS BRIEF
HULFT EMPOWERS DATA-DRIVEN TRANSFORMATION OF THE PAYER BUSINESS MODEL
Data is a central part of the changing payer business model. HULFT understands the
payer business processes, providing a proven data logistics platform for integration,
process automation, data governance, and more.
HULFT supports your hybrid cloud framework, connecting to all your data sources such as AWS, Microsoft Azure, Salesforce, and more.
We provide the support infrastructure for immediate provisioning in the cloud, including mapping to Active Directory and enabling role-based access controls.
HULFT enables digitized processes and automation of authorizations that require medical review within existing workflows.
HULFT supports NCQA proposed option for Clinical Quality Measures by incorporating clinical data with claims data.
Regulatory compliance and submission
HULFT supports MOAs in the accurate, complete, timely submission and reconciliation of RAPS and EDPS.
Reduce costs and improve operational efficiency
HULFT creates value by building a purpose-built environment for analytics, and consumable layers for analytical purposes, as payers look for new and strengthened capabilities to engage members, optimize risk adjustment and quality, enhance provider and network efficiency, prevent fraud waste and abuse, and contain costs.
Population health management
HULFT strengthens payers’ care-coordination and disease management initiatives to target members through rules and models that provide high sensitivity and specificity. We enable provider networks to deliver care when it is most effective in producing the best outcomes, with a focus on modifying risk.