Solutions for Health Plans

$750 billion a year is wasted on unnecessary care, inefficient delivery and missed prevention.*

As a health plan, you face an exceedingly complex and ever-evolving healthcare landscape. More organizations are sharing risk and patient outcomes. The Affordable Care Act is bringing an influx of uninsured into the market. Payment methodologies race forward to catch up — intensifying focus on reducing waste, overutilization, inefficiencies and inadequate care.

Equip your finance, clinical, quality, population health and care management teams with turnkey, easy-to-use solutions that provide actionable intelligence you need to inform and collaborate with providers on overutilization, waste, gaps in care, performance, and more.

Our capabilities include actionable intelligence around:

  • Provider Network Optimization
  • Population Health Management
  • Cost and Utilization
  • HEDIS Measures
  • Quality Improvement
  • Key Performance Indicators
  • Predictive Analytics
  • Membert Metrics
  • Custom Analytics & Reporting

*Source: Institute of Medicine Report, Sept. 2012. "Best Care at Lower Cost: The Path to Continuously Learning Health Care in America." Retrieved from http://www.nationalacademies.org.