Solutions for Payers
Solutions that help address strategic priorities and navigate trends, such as consumerism and value-based care.
Transform.Financial and Clinical Outcomes and Consumer Experiences.
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Information sharing for better care coordination, risk analysis, and network management
- Automate provider contracts to help reduce costs and improve efficiency
- Engage members and measure quality to support satisfactory care
- Speed your transition to value to help improve patient outcomes
- Analyze and automate value-based models to scale complex payment processes
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Manage medical costs and collaborate with providers for better outcomes
- Use evidence-based decision support to support appropriate care
- Solve clinical and technical IT challenges to optimize your business performance
- Ease medical-records retrieval and clinical review to help improve risk adjustment and quality scores
Grow.Drive Cost Control and Revenue Enhancement.
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Streamlined payment efficiency for improved accuracy and revenue performance
- Process claims faster to make operations more efficient
- Improve payment integrity and transparency
- Tap experienced consultants to solve clinical and technical challenges
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Healthcare payer solutions for optimized provider networks
- Use our nationwide connectivity to streamline engagement and claims processing
- Enable pharmacy benefits administration to optimize member experiences and financial outcomes
- Convert to e-payments to lower reimbursement-distribution costs
- Achieve accurate, risk-adjusted payments to meet compliance and quality goals
Empower.Provide Members with Tools and Services to Support Their Healthcare Journey.
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A comprehensive selection of tools to enable exceptional member experiences.
- Offer a consumer-solution suite to improve member experiences and satisfaction
- Boost use of your member portal to better engage consumers
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Enrollment- and billing-management solutions for enhanced member engagement
- Offer payment counseling to support financially vulnerable patients
- Provide provider search and cost-comparison shopping tools to help members find care
Our outcomes
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