Health plans strive to offer personalized benefits and services to their members every day, but rising costs, inflation and an aging population constantly pressure revenues and margins.
Payers must become more consumer-focused by addressing the ease of use of plan benefits, transparent cost information and digital-first interactions. This shift requires leveraging data to deliver positive, secure digital experiences, address population health risks and maintain reliable accurate provider information.
It's important to gather data on healthcare consumers' utilization of health services across various channels and payers. Linking this information with their social needs, consumer profiles and history over time helps develop strategies focused on the individual's overall well-being.
We help organizations achieve their goals, improve their operations and drive better health outcomes.
We curate industry-leading consumer data, de-identified medical claims, provider information and social determinants of health data to enable payers to solve their most complex challenges.
Our data science and patented algorithms enable predictive modeling and AI applications to make strategic business decisions to optimize network efficiency, improve member outcomes and reduce business costs.
Our patented linking technology and clustering method ensures more precise matching over time for a comprehensive view of consumers and providers.
Getting members engaged with their own healthcare is important to health outcomes. Think of how your portal digital experience impacts engagement. If you aren't focused on a good user experience, read this e-book today to see why you should be.