Health Plans
Engage your members and providers with analytical insights and solutions
Engagement is the hallmark of today’s health plans. Your members expect a seamless consumer-driven experience, and providers want fast, accurate data integration. Let digital rewrite the story. Our health plan services connect both members and providers—and with decades of work in the industry, our consultants have the expertise and answers that can help you define and execute your vision.
Harness next-generation intelligence and advanced analytics. Meet the demands of your modern workforce, and elevate the member experience through mobile, cloud, IoT and other digital solutions. Let opportunity and strategy drive innovation and growth. And write your next chapter with confidence.
More Than a Neighborhood
The place we live is a strong predictor of our health outcomes—even more than standard clinical diagnoses. Called social determinants of health (SDoH), they deliver a a holistic view of patients—bringing traditionally overlooked quality-of-life influencers into play. Our white paper explores how business intelligence innovation, including analytics, artificial intelligence and machine learning, can deliver insight into SDoH factors impacting patient population and health.
Everest named us a Leader in Healthcare Payer BPO Service Provider Landscape in its 2018 PEAK Matrix™ Assessment. — March 2018
BCBSRI gains a 360° view of customers by migrating to Salesforce, automating workflows and adopting DevOps.
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Our Services
Business Intelligence & Analytics for Health Plans
Provide the right insights at the right time to facilitate innovation and growth.
Business Insights Engine
Gain insight with a 360-degree view of individual members though this as-a-service solution.
Business Process Solutions for Health Plans
Expand beyond traditional processes to make your operations more competitive and streamlined.
Healthcare Staffing Solutions
Manage operational challenges and streamline processes with flexible staffing solutions.
Digital Health Consumer Platform
Increase consumer engagement and empower individuals to take charge of their healthcare journey.
Enrollment & Billing
Maximize efficiencies and engagement with a flexible, modular solution to achieve the accuracy and customer satisfaction you want and expect.
Health Plan Consulting
Enhance your strategy and operations to meet changing customer needs, and strike a balance between innovation and practicality.
Payment Integrity
Improve payment integrity and maximize revenue recoveries with proven toolsets for screening, scoring and coordinating benefits.
Platform Enablement
Boost third-party capabilities with proven high-performing claims platform implementation, application migration, analytics, hosting and business processes.
Provider Data Management
Improve the accuracy of your provider data with a streamlined, flexible data management solution.
Digital Insights Applied
We work with clients like you at every point of a digital journey.
That’s why we’ve identified key technology areas that will rewrite
the way you’ll work—and the way your business can adapt to
changing consumer and employee expectations.
WHAT YOU SHOULD KNOW
