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.
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
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.
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
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.
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
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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- Member Engagement Learn more about our healthcare member engagement solutions built on proven tactics for health plans to engage members and inspire them to take ownership of their health. Learn more
- Payment Accuracy Discover our payment accuracy product suite for payers that want to improve claims adjudication and streamline payment operations across all payment modalities. Learn more
- Medical Network Discover how we leverage our nationwide medical network connectivity to streamline engagement, reduce costs, improve claims processing & verification efficiencies. Learn more
- Eligibility and Enrollment Learn how our healthcare eligibility enrollment services help to identify and support financially vulnerable patients through payment counseling and program enrollment. Learn more
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