Committed to Outcomes

As experienced market leaders delivering transformative outcome-based solutions for health plans across all lines of business, we are singularly focused on unburdening health care. Through our best-in-class, scalable, ecosystem-based solutions of Core Administration capabilities, deep expertise in Risk Adjustment, Quality Improvement and Stars management, we help improve efficiency while lowering your costs

OUR OFFERINGS

End-to-End Solutions with Endless Possibilities

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Benefits


Get much more than a simple upgrade or a mix of solutions

Our BPaaS solution is a modern, integrated ecosystem of healthcare operations, processes, and solutions with scalability, efficiency, and predictable outcomes. It effectively works behind the scenes to manage your complex administration operations, giving you freedom, flexibility, and cost efficiency

Freedom

From old legacy systems

From running operations through multiple complex systems and vendors 

To focus on outcomes and member experience 

Flexibility

To tailor proven solutions so they work best for you 

To scale and expand  

To configure for multiple lines of business and benefits structures 

Cost efficiency

Through streamlined processes and accelerators 

With managed maintenance costs 

Delivered through predictable operating costs 

Unlock possibilities with a powerful 
portfolio of solutions

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Core Administration

Ramp up results with proven solutions for Enrollment Plus™, Integration Plus™ and other Core Administration capabilities

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Core Administration

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Operations powered by efficiency

Integrated, effective solutions to streamline and modernize operations and reduce costs

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Risk Adjustment

Trusted technology and services with solutions built for Medicare Advantage and other government healthcare businesses

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Quality Improvement and Stars

Proven, tailored programs combined with strong industry expertise to help plans measure, analyze, and implement strategies with impact

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Quality Improvement and Stars

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Boost outcomes with powerful strategy

We know quality inside and out. From HEDIS® to Stars, we’ve helped dozens of clients advance and achieve

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Driven by tangible outcomes, we prioritize cost reduction and operational effectiveness, consistently delivering value and improving our clients’ bottom line

From Leadership

“The problem health plans have is we thought the problem was technology and all we needed was technology to solve it. The real solution is the mindset around how you apply technology to solve the problem”

Kevin Adams

CEO, UST HealthProof


FIND Your solution

Find the perfect solution for you now

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Find your best-fit solution

Discover what works best for you with our intuitive solution finder tool. Use the tool to navigate through our suite of offerings and uncover tailored solutions designed just for you

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Let’s talk

Feeling overwhelmed by operations challenges?

 

  • Dependence on legacy systems
  • Multiple vendors, incompatible technologies, data silos
  • Increasing costs, ever-changing regulatory compliances

 

Let us help unburden your health plan

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Ready to uncomplicate health plan operations and impact your members' lives?

Work with us to improve people's health and wellbeing

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