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.

Who we help players

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
Who we help players

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.

Who we help players

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
Who we help players

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.

Who we help players

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
Who we help players

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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