Health Plans
Featured Solution
Save $36 Billion in U.S. Healthcare Spending Through Price Transparency
This white paper explores how reducing price variation through consumer transparency has the potential to save us significantly as a nation. The paper summarizes some leading research on this topic and also positions best practices drawing on some examples through our own solutions.
To download the white paper, click here
Products and Solutions
Analytic Consulting
Make sound business decisions with key insights into consumer behavior and market dynamics.
Analytics/Measures
Use proven analytic methods to calculate return on investment and unsurpassed tools and methodologies to deliver solutions tailored to your needs.
Care Management Analytics
Target the right members with the right interventions at the right time.
Consumer Solutions
Empower members to become active healthcare consumers with personalized, easy-to-use decision support tools.
Data Management
Public or private clients can integrate multiple data sources into a standard format — generating actionable information that can be easily shared across the organization.
Employer Group Reporting
Employer Group Reporting enhances information transparency between health plans and third-party administrators and their employer customers
Enterprise Decision Support
Streamline workflow and address cash flow issues with financial planning and revenue cycle management tools.
Fraud and Abuse
Use decision support applications and advanced data investigation methods to detect and investigate healthcare fraud, abuse, and waste.
HEDIS
HEDIS Compliance Audits or Audit Reviews for both health plans and physician organizations.
Marketing Analytics/Consulting
Identify consumers who need individual health coverage. Determine which ones can afford it. Find the best way to reach them.
campaigns
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