Health Plans
Engage your members and providers with analytical insights and solutions
Engagement has never been more important to health plans. While transformative business and technology solutions allowed us to quickly adapt to a new normal, it’s emerging solutions that will sustain us throughout an unpredictable time. But what does this mean right now? The strongest health plan is one that incorporates technology, business, culture, human capital and strong leadership, and digitally transformed plans will be better positioned for future success.
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.
AI: Risk, Reward and Hype
For health plans, AI adoption holds promise – but it’s not without challenges. It’s time for a reality check. Our webinar explores a recent study, conducted by NTT DATA and Oxford Economics, highlighting what leaders and associates are experiencing around security, privacy and lack of transparency of the automated decision systems.
ACCESS THE WEBINAREverest Group named us a Leader in Healthcare Payer Digital Services, citing our business-first approach and end-to-end services. – January 2020
When it comes to data, AI and digital transformation, the question isn’t how we can help healthcare organizations, but how can we not? See why.
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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.
Stronger Together
Pivoting business strategies is a key component to thriving
during this pandemic. Health plans using and adapting new
technologies will stay ahead of the game and continue to thrive.
WHY PLANNING IS KEY
