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Pega Product Composer for Healthcare Implementation Guide

Updated on April 12, 2021

Pega Product Composer for Healthcare streamlines the configuration and maintenance of health insurance products through guided assembly and reuse of atomic-level benefit components. These components can be fine-tuned for complex logic and conditions that include tools such as life-cycle management and versioning.

Pega Product Composer for Healthcare

By simplifying product design, management, and delivery, Pega Product Composer for Healthcare unlocks product innovation, accelerates compliance, and speeds time to market. The application provides a centralized product repository that exchanges accurate, detailed plan and benefit information among all your users, systems, channels, and devices. This operational support results in accurate claim determinations and benefit quoting, and delivery of exceptional customer experiences. Health plans, integrated delivery networks (IDNs), and accountable care organizations (ACOs) can transform their product approach with Pega Product Composer for Healthcare.

Deployed on the cloud or on the premises, Pega Product Composer for Healthcare reduces time, cost, and risk for product development and execution.

Health insurers need new competencies to perform in today’s disruptive market. Rapid product development and efficient execution are essential for achieving regulatory compliance and winning members. Enhanced customer engagement across all sales and service transactions is critical to fulfill product promises, differentiate the brand, and grow the customer base. Organizations need the ability to service what they sell. Consumers demand access to accurate benefit information in the format of choice at their convenience, accurate claims adjudication in a timely manner, and experiences consistent with the product that they purchased.

For additional information, see the Product Overview on the Pega Product Composer for Healthcare product page.

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