Accelerating Healthcare Transformation with Mphasis's Intelligent Automation

The healthcare industry is at a crossroads. As the demand for high-quality, personalized care grows, healthcare providers are also grappling with mounting operational pressures. Massive volumes of unstructured data, repetitive and manual administrative processes, and aging IT systems combine to create significant barriers to efficiency and innovation. These challenges not only affect how quickly providers can deliver services but also impact the overall quality of care and patient satisfaction.

Healthcare organizations need more than just digital tools, they need intelligent automation strategies that enhance performance, reduce friction, and unlock value at every stage of care delivery. This is where Mphasis steps in, bringing its deep domain expertise and cutting-edge automation capabilities to transform healthcare operations.

Challenges in the Healthcare Ecosystem

The healthcare sector faces a unique set of challenges that make transformation both urgent and complex:

1.Exponential Data Growth Leading to Inefficiencies: Medical records, patient histories, diagnostic images, insurance documents, and real-time monitoring outputs, healthcare generates vast quantities of data every second. However, much of this data remains siloed, underutilized, and unstructured, making it difficult for care teams to extract meaningful insights or make timely decisions.

2.Manual, Repetitive Processes Causing Delays: From patient registration and claims processing to billing and provider network updates, healthcare systems often rely on manual workflows. These tasks are not only time-consuming but also prone to errors, leading to increased costs, compliance risks, and delays in patient care.

3.Complex and Slow IT Systems Hindering Responsiveness: Many healthcare organizations operate on legacy systems that are ill-equipped to handle modern digital demands. Integrating new tools or scaling operations often becomes a resource-intensive process, slowing down innovation and limiting flexibility.

Mphasis's Approach to Intelligent Automation

Mphasis addresses these challenges head-on by combining technology, analytics, and deep healthcare expertise. The company’s intelligent automation approach focuses on optimizing end-to-end processes, enabling smarter decision-making, and driving tangible outcomes.

1.Automation Solutions: Proven Accelerators and Partner Ecosystems

Mphasis deploys a wide range of automation accelerators, developed in collaboration with strategic partners and tailored for healthcare environments. These solutions are designed to integrate seamlessly with existing systems and automate high-volume, rule-based tasks, reducing human dependency and operational bottlenecks.

2.Mphasis’ Proprietary Solutions

Mphasis’s innovation hub, NEXT Labs is an omnichannel analytics platform that synthesizes structured and unstructured data from across the enterprise and external sources. It enables real-time insights into member behavior, fraud detection, and operational trends, empowering better decision-making.

● Hypergraf™:

Hypergraf™ A powerful graph-based analytics platform that integrates structured and unstructured data to deliver 360-degree views of patients, payers, and providers. In healthcare, this means better insight into patient journeys, treatment efficacy, and cost management.

● Javelina®:

A modern, cloud-based Javelina® that serves over 45 global customers and is designed to streamline claims processing, benefits administration, and member enrollment for payers and TPAs. It leverages AI, predictive analytics, and real‑time data integration to enable more agile workflows, intelligent insights, and improved decision‑making at lower operational cost.

● DeepInsights™:

Deepinsights An AI-powered data-to-decision platform that provides real-time, context-rich insights by automating data processing and analytics. Healthcare organizations can use it to detect trends, predict care outcomes, and improve population health strategies.

● CognitiveGuru:

A CognitiveGuru cognitive assistant designed to streamline workflows by delivering contextual recommendations and intelligent alerts to users. It aids healthcare workers in navigating complex cases and compliance requirements quickly and accurately.

● Optimize.AI:

A decision-optimization engine that uses machine learning and advanced analytics to recommend the best course of action across business processes. From claims adjudication to resource planning, Optimize.AI ensures faster, data-driven decisions.

3.End-to-End Business Process Automation

Beyond tools and platforms, Mphasis takes a holistic approach to business transformation. By automating entire workflows across critical areas, such as customer experience, provider network maintenance, claims management, patient enrollment, and billing renewals, Mphasis enables healthcare organizations to operate with greater agility and consistency.

Case Study: Process Automation for a Global Insurance Giant

While not healthcare-specific, a relevant case study from a global insurance provider illustrates the impact Mphasis’s automation capabilities can deliver, results that are easily replicable in healthcare contexts.

The client, a global insurance and financial services firm, was facing high operational costs and limited scalability due to manual processing across multiple business functions, including claims handling and policy administration. Mphasis engaged with the client to implement Robotic Process Automation (RPA) at scale.

Key highlights of the transformation included:

● 50% Reduction in Manual Effort: : Through the deployment of over 40 automation bots, Mphasis significantly reduced the need for manual interventions across repetitive tasks.
● 40% Cost Savings: Operational expenses were drastically cut, resulting in substantial ROI within the first few months of deployment.
● Accelerated Turnaround Time: The time taken to process tasks like policy updates, claims adjudication, and document verification was reduced by over 60%.
● High Scalability and Compliance: The automation framework was designed for rapid scaling across geographies and business units while maintaining full compliance with industry regulations.

This success story underscores how intelligent automation can drive transformative efficiency and accuracy, principles that are directly transferable to healthcare systems dealing with similar challenges in claims management, billing, and customer service.

Outcomes of Mphasis’s Intelligent Automation

The intelligent automation solutions offered by Mphasis deliver measurable and meaningful results across healthcare ecosystems.

● Enhanced Operational Efficiency: Automation reduces manual workload, improves process accuracy, and accelerates service delivery.
● Improved Patient Outcomes: With quicker access to accurate information and better care coordination, patients receive more timely and personalized treatment.
● Faster Response Times: Intelligent systems enable real-time processing and decision-making, ensuring that both clinical and administrative teams can act swiftly when it matters most.

In a world where the future of healthcare depends on both precision and speed, Mphasis’s intelligent automation solutions offer the perfect blend of innovation and impact. Whether it’s optimizing backend operations or elevating patient experiences, Mphasis is helping healthcare systems work smarter, faster, and better.

Summary

Q.How does Mphasis’s intelligent automation benefit healthcare providers?
By streamlining processes, reducing manual tasks, and improving overall efficiency, Mphasis’s automation solutions empower healthcare providers to focus on what truly matters, delivering exceptional patient care. With a strong foundation in analytics, cognitive technologies, and AI-powered tools, Mphasis enables healthcare organizations to stay ahead in an evolving digital landscape.