Payers

Power your business with member-first experiences.

 

Deliver trusted member and provider experiences while reducing costs.

 

Personalize member and provider experiences.

Create a holistic view of members and providers to personalize experiences for greater engagement and improved health outcomes.

Automate processes from quote to care.

Streamline operations and generate insights to increase efficiencies and grow the business.

Scale collaboration between distributed care teams.

Align with value-based care initiatives and enhance member offerings with scalable cloud technology to future-proof every strategic move.
 
 

Inspire Trusted Contact Center Engagement

Payer Contact Center enables health plans to digitize customer service across your health plan’s lines of business.
 
Ensure positive customer experiences.
Easily audit caller interactions to ensure compliance and maintain a high standard of quality across the spectrum of digital channels.

Give agents tools they need to succeed.
Improve agent productivity with best practice tools like caller validation, member relationship mapping, interaction tracking, call wrap-up, and more.

Personalize member and provider interactions.
Create personalized inbound and outbound interactions with real-time 360-degree customer views that offer relevant member and provider information.
 
Health Cloud connects data and teams, automates processes, and personalizes engagement on a single, intelligent platform to improve outcomes.

Experience Cloud lets you quickly launch data-powered sites, portals, and apps, connected across the customer journey.

Mobile Publisher is a powerful tool to help you distribute your version of the Salesforce mobile app or Experience Cloud sites.
 
See how UnitedHealthcare is transforming the member experience.

“There is a lot more focus on consumer digital, a lot more focus on personalization, and a lot more focus on giving control back to the people that we serve.”

Phil McKoy, CIO, UnitedHealthcare
 
 

Modernize Network Management

Leverage the power of a single, connected system to quickly grow and manage your network of quality providers, improve collaboration, and make patient connections.
 
Start with a single source of truth.
Integrate disparate provider databases to ensure accuracy, improve reporting efficiency, and easily share relevant data between payers and providers.

Remove friction from provider onboarding.
Engage with new and existing providers using targeted campaigns, then unlock the power of digitized credentialing processes to onboard faster than ever before.

Create self-serve provider experiences.
Enable providers to see the status of their applications and conveniently manage their profiles, member data, inquiries, and care processes — with intuitive, easy-to-use portals — to ensure better care experiences and outcomes.
 
Health Cloud connects data and teams, automates processes, and personalizes engagement on a single, intelligent platform to improve outcomes.

OmniStudio consolidates applications, speeds new users to productivity, and reduces your overall cost to serve.

Experience Cloud lets you quickly launch data-powered sites, portals, and apps, connected across the customer journey.

CRM Analytics for Health Cloud helps your entire team find important answers and start making data-driven decisions.

Marketing Cloud lets you personalize customer experiences and optimize each campaign with data-first enterprise solutions for any channel and device.

MuleSoft Anypoint Platform lets you integrate data from any system to deliver critical, time-sensitive projects — all with a single platform for APIs and integrations.
 

See how EmblemHealth delivers quality and compassionate care.

“Salesforce helped us break down barriers and get everyone functioning on a cohesive and unified platform.”

Tom Macmillan, CIO, EmblemHealth

 
 

Scale Care Management

Create personalized post-acute care plans and long-term engagement to drive healthier outcomes.
 
Identify patients by risk level.
Real-time analytics and dynamic reporting of conditions, trends, and health data allows you to provide more targeted care for high-risk members.

Drive healthier outcomes at reduced costs.
Case managers can view benefits, pre-authorizations, and clinical data, as well as member interactions, to gain insights and prioritize the best next steps for the best outcomes.

Engage members.
Members can take a more active role in their health by tracking their care plan progress on any device, and directly engaging with their care team on any channel, all through secure sites for a personalized experience.

Get a 360-degree view of data.
Integrate all relevant member data, from benefits and claims to clinical events and wellness programs, into a single console. Collaborate easier with a map showing relationships across household members, care plans, and care teams.

Make better decisions, faster.
Utilization management clinicians and care team members can easily see the status of open care requests, along with coverage and guidelines, to streamline authorizations and make the best decisions for each member.
 
Health Cloud connects data and teams, automates processes, and personalizes engagement on a single, intelligent platform to improve outcomes.

Experience Cloud lets you quickly launch data-powered sites, portals, and apps, connected across the customer journey.

MuleSoft Anypoint Platform lets you integrate data from any system to deliver critical, time-sensitive projects — all with a single platform for APIs and integrations.

CRM Analytics for Health Cloud helps your entire team find important answers and start making data-driven decisions.

AppExchange extends solutions with comprehensive partners specialized in Healthcare and Life Sciences.
 
 
 

Salesforce is named a Leader in The Forrester Wave™: Healthcare CRM Providers, Q1 2020.

IDC MarketScape names Salesforce a Leader in Customer-360 Data Platforms for Payers in 2020–2021.

 

Explore resources for payers.

 

E-BOOK

Learn how to improve engagement from a unified healthcare platform.

Article

Healthcare Enrollment in the Age of Digital and Unknowns

E-book

Learn key tactics that influence successful digital transformations.

 
 

Ready to learn more about payers solutions?

Or call us at

1-800-667-6389
 
 

Learn how we help our customers comply with HIPAA.