For employers and their advisor partners, our benefit analytics and care management applications help control the ever-increasing cost of healthcare benefits. With our unified technology platform, managers of self-funded health plans are enabled to strive for healthcare economics historically available to the Fortune 500.
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High-Quality Value-Based Benefits Design. We have a track record of proven employer success in value-based care programs and other innovative payment models.
Comprehensive Service and Support. We offer a full-spectrum advisory and customer services that leverage the substantial knowledge of our team and our partners.
Solutions for Industry Leaders. Our expansive partner ecosystem includes the most respected employers, brokers, consultants, third party administrators, and ASO divisions of national and regional health plans.
Identifying plan objectives with cost and quality benchmarks helps determine optimal benefits parameters. Our analytics tools apply data-driven benchmarks that are based on average costs and the profile of a region, ensuring competitive benefits are designed to create value for the employee and the plan sponsor.
Learn MoreManaging utilization, including prior authorizations, is an increasingly important component of reducing benefits costs, and a highly differentiating service that advisors can offer to their employer clients. Our tools can help Advisors build the capacity for in-house utilization management, increasing efficiency, reducing reliance on external vendors, and improving alignment with the plan sponsor’s objectives.
Active management of rising-risk cohorts and members can help plan administrators control the cost and quality of care. We offer a care management tool that empowers the administrator’s clinical team to act on the insights and engage with high-cost cohorts, patients, and their providers.
Communicating efficiently and securely with members helps mitigate risk factors and engages members in activities that help improve their health. Our brandable health portal allows care managers to share individualized care plans, assessments, health incentives and patient reported data, as well as securely send messages.
An increasingly competitive employer market means that differentiated capabilities can help advisors stand apart from the competition. Our care management application features a comprehensive set of capabilities that add additional value for the plan sponsor, including utilization management, disease management, incentive management, and prevention care plans.
Employers and their advisor partners, including TPAs, ASOs, Brokers, and Consultants, need healthcare benefits analytics applications that inform strategic decision making deliver costs savings across multiple lines of business. Our automated benefit analysis tools empower advisors to configure dashboards, visualize decision drivers, and tailor plan design to the characteristics of the client population. This helps sustain productive relationships by delivering increasing value year after year while preserving margins for the advisor.
Learn MorePoor datasets make it difficult to create comprehensive visualizations and pinpoint the root cause of health and financial variation. Our configurable and templated visualizations are produced from a comprehensive dataset, enabling clients to see trends across populations. We centralize and enrich your data to target risk-factors in the population, to understand them, and to address them.
Identifying high-performing providers and networks is a proven way to manage plan costs and improve care quality. Our tools help identify the right group of providers based on the characteristics of the member population. It supports the design of steerage strategies that encourage the workforce to use apply them and the members to use them.
Relying on carrier reports puts employers behind the curve in their ability to respond with actionable insights. Our tools centralize the data across business lines and analyzes it through multiple dimensions, helping to isolate cost and quality variation and high-flyers, and pinpoints opportunities for intervention.
Identifying plan objectives with cost and quality benchmarks helps determine optimal benefits parameters. Our analytics tools apply data-driven benchmarks that are based on average costs and the profile of a region, ensuring competitive benefits are designed to create value for the employee and the plan sponsor.
A medical university needed help to facilitate better outcomes for over 100 locations and a network of 1,000+ healthcare providers. The organization had implemented the Medicare Shared Savings Program (MSSP) Enhanced Track and focused on tackling three growing challenges for chronic kidney disease (CKD) management.
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The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you. Learn more today!
