The most significant use for payer care management workflow applications is the payer-employed care manager doing the work of utilization management (UM), case management (CM), disease management (DM) or wellness programs.
Drivers & Restraints
Healthcare payer care management workflow applications work often includes comparison of requested services against standards of medical necessity, interacting with providers and their administrative staff, completion of assessments with members during telephonic engagements, establishing and documenting progress on care plans, and motivating member behaviour change. All these benefits have attracted a large number of consumers globally.
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SME (Small and Medium Enterprises)
The market has been segment into North America, South America, Europe, Asia-Pacific, and Middle East and Africa. Asia Pacific and Latin America are a major market for Healthcare Payer Care Management Workflow Applications owing to the rapid development and increase of internet in the region.
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TCS Healthcare Technologies