Care management
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
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.
Unlock possibilities with a powerful portfolio of solutions
Core Administration
Ramp up results with proven solutions for Enrollment Plus™, Integration Plus™ and other Core Administration capabilities
Core Administration
Operations powered by efficiency
Integrated, effective solutions to streamline and modernize operations and reduce costs
FEATURED SOLUTIONS
Risk Adjustment
Trusted technology and services with solutions built for Medicare Advantage and other government healthcare businesses
Risk Adjustment
Precise analytics that drive results
Versatile solutions for coding, analytics, data integration, and more
FEATURED SOLUTIONS
Quality Improvement and Stars
Proven, tailored programs combined with strong industry expertise to help plans measure, analyze, and implement strategies with impact
Quality Improvement and Stars
Boost outcomes with powerful strategy
We know quality inside and out. From HEDIS® to Stars, we’ve helped dozens of clients advance and achieve
FEATURED SOLUTIONS
OUTCOMES
Outcomes with an impact
Driven by tangible outcomes, we prioritize cost reduction and operational effectiveness, consistently delivering value and improving our clients’ bottom line
30%
Average operational cost savings
55
Health plan clients
6M+
Members covered
120
Prebuilt integrations
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
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
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
Ready to uncomplicate health plan operations and impact your members' lives?
Work with us to improve people's health and wellbeing
