Wipro and Plexis Healthcare partner to deliver digital-first healthcare plan solutions

Bengaluru-based information technology services firm Wipro has entered into a partnership with American technology firm Plexis Healthcare Systems to deliver digital transformation solutions for the healthcare sector. 

The companies will offer customers digital-first healthcare plan solutions while being compliant with government regulations, Wipro said in a media statement.

The deal is expected to help Plexis deliver a streamlined, efficient and accurate administration solution to support healthcare payers and plan sponsors across the world, the companies said in a statement. The solutions will be cost-effective as well as provide a better customer experience. 

Payers are the end-customers while plan sponsors are the employers who pay the premium on behalf of their covered employees.

According to Wipro, the partnership will initially focus on supporting customers under the Medicare and Managed Medicaid programmes in the United States but will be later expanded to support Accountable Care Act and commercial lines of business. Financial details of the deal have not been disclosed.

“The healthcare market is going through a major digital transformation. Operating an intelligent back-office is instrumental to increase productivity, revenue and quality and optimised technology to enable intelligent operations will be the key to transform the payer enterprise,” Jorge Yant, president and CEO of Plexis Healthcare Systems, said.  

Wipro’s Medicare platforms will combine with Plexis’ healthcare payer claims and care management platforms. This will help the Indian IT firm to deliver business process as-a-Service (BPaaS) for efficient and effective management of the entire value chain, the company said. This will include enrollment processing with Centre for Medicare and Medicaid Services (CMS) member billing, fulfilment, care management, claims processing and data processing to CMS., it added.

“With technology playing an increasing role in every aspect of global healthcare services delivery, healthcare payers recognize the need to accelerate the development of integrated, cost-effective digital solutions to ensure they remain on the competitive vanguard,” Mohd Haque, senior vice president and global head of the healthcare business unit at Wipro, said.

Last week, Wipro had partnered with European multinational software giant SAP to co-develop solutions for the retail and fashion industries. 

Indian IT firms are facing multiple headwinds in the form of lower spending in two key sectors — financial and retail. The spread of Covid-19 has also spooked the markets, sparking fears of a recession. 

The company is underperforming when compared to its peers like Tata Consultancy Services and Infosys. Its former CEO Abidali Neemuchwala stepped down early this year.