Join healthcare and life sciences leaders at Dreamforce 2024 in San Francisco, September 17-19.
Register nowBuild trusted member relationships on the #1 AI CRM.
Curate trusted experiences for health insurers by connecting and automating business processes from quote to care. Collaborate across the enterprise on a member-first healthcare administration software solution.
Streamline member journeys from enrollment through ongoing care management.
Scale contact center experiences.
Guide members through a connected health journey and transform interactions into trusted relationships.
Improve agent productivity with best-practice tools like caller validation, relationship mapping, interaction tracking, call wrap-up, and more.
Easily audit caller interactions to ensure compliance and maintain a high standard of quality across the spectrum of digital channels.
Create personalized inbound and outbound interactions with real-time 360-degree views that offer relevant member, provider, and third-party partner information.
Strengthen provider networks.
Leverage the power of a single, connected system to quickly grow and manage your network of quality providers, improve collaboration, and make member-patient connections.
Integrate disparate practitioner databases to ensure accuracy, improve contract reporting efficiency, and easily share relevant data.
Engage with new and existing providers using targeted campaigns, then unlock the power of digitized credentialing processes to onboard faster than ever before.
Enable providers to see the status of their applications. Conveniently manage profiles, member data, inquiries, and care processes – all with intuitive, easy-to-use portals to ensure better care experiences and outcomes.
Promote integrated care management.
Empower care teams to achieve cost-effective outcomes and experiences.
Conduct comprehensive medication reviews, reconcile therapies, detect drug-to-drug interactions, and document discrepancies and recommendations.
Unify sources of member health data like claims, labs, pharmacy, EMR, assessments, and social determinants to drive stratification insights.
Calculate unified health scores, identify at-risk members, and enroll them in care programs to address their needs and improve adherence.
Streamline benefit sales and administration.
Transform quoting, enrollment, benefits management, and renewals to seamlessly convert and retain members.
Accelerate your leads and relationships with actionable data and predictive AI for small and large groups.
Save your sales team time with automated emails and next best actions that leverage account insights.
Provide a seamless enrollment experience for your employee admins and brokers with options to quickly filter, compare, and check out.
Build your payer solution with the following Salesforce products:
Health Cloud
Connect data and teams, automate processes, and personalize engagement on a single, intelligent platform to improve outcomes.
Data Cloud
Empower teams to engage customers at every touchpoint, with relevant health insights and contextual data in the flow of work.
MuleSoft
Integrate data from any system and automate complex tasks to deliver connected customer experiences, faster.
Einstein AI
Create customizable, predictive, and generative AI experiences to fit all your business needs safely.
Analytics
Help your entire team find important answers and start making data-driven decisions.
Marketing Cloud
Personalize customer experiences and optimize each campaign with data-first enterprise solutions for any channel and device.
Experience Cloud
Quickly launch data-powered sites, portals, and apps, connected across the customer journey.
Sales Cloud
Grow your health business with enhanced productivity, intelligent sales, and streamlined forecasting.
Learn new skills with free, guided learning on Trailhead.
Keep up with the latest payer trends, insights, and conversations.
Ready to take the next step with the world’s #1 AI CRM?
Start your trial.
Try Health Cloud free for 30 days. No credit card. No installations.
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Salesforce for Payers FAQ
Health Cloud is a healthcare payer administration software that allows health plans to influence better health decisions, improve the member and broker experience, and reduce the cost of care through collaboration. Learn more
Payers need a single source of truth for all their member, broker, and provider data. Rather than siloed point solutions, it is crucial to have a consolidated view of everything on a connected platform. This drives productivity and optimal services and outcomes.
Health Cloud advances the ability of healthcare systems to drive stronger member relationships with out-of-the-box functionality. With it, organizations can manage the entire member journey from prospect to enrollment, provider selection, benefits administration, service, care support, billing, and more.
Look for a solution architected for flexibility with tools that help you deliver innovation quickly. Consider the total cost of ownership of any healthcare solution including the ability to integrate with other digital and third-party solutions, uptime, access to advanced features, ongoing support, and implementation.