Case Study: WellCare achieves 70% cost reduction and 50% faster turnaround with Newgen Software

WellCare streamlines operations with Newgen's solutions

WellCare Health Plans, Inc., a leading managed-care provider serving about 3.7 million members across Medicaid, Medicare Advantage and Prescription Drug Plans, was hindered by manual, document‑intensive processes that caused long turnaround times, poor visibility, multi‑channel reconciliation issues and risks to compliance and member service.

Partnering with Newgen and using BPM/ECM/CCM accelerators, WellCare automated Provider Contracting, Complaint Tracking and Medicare Enrollment with end‑to‑end workflows, digital intake, auto data extraction and case management. The transformation delivered measurable gains: 50% faster provider onboarding and overall turnaround time, 70% cost reduction, 95% compliance and a 90% increase in member/provider satisfaction.

Wellcare

Renee Santana

Director of Configuration