Case Study: US-Based Health Plan achieves 84% reduction in provider onboarding time and 6-month ROI with Newgen Software's Provider Lifecycle Management Solution

A US-based Health Plan Transforms Operations with Newgen’s Provider Lifecycle Management Solution

A leading U.S. health plan operating across multiple states and product lines (Medicaid, Medicare, Exchange) was struggling with high volumes of provider onboarding and maintenance. The organization faced limited access to accurate data, long onboarding turnaround times, low end-to-end visibility, manual hand-offs, legacy-system dependency, and poor stakeholder collaboration.

By deploying Newgen’s Provider Lifecycle Management—combining self-service portals, onboarding and maintenance automation, contract automation, and lead management—the plan eliminated manual processes, improved data visibility, and streamlined workflows. Outcomes included a 6-month ROI, an 84% reduction in onboarding turnaround time, a 90% reduction in task labor, 85% fewer customer service calls, a 1.5-point increase in STAR/HEDIS scores, and a 98% improvement in claims-quality impact.