Challenges and Opportunities in the Era of Interoperability
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About us
We are trusted allies of health plans and organizations, simplifying their complex operational and quality challenges across all lines of business
Market leaders with a commitment to excellence in healthcare technology and outcomes
Our team of dynamic thought leaders and innovators, driving transformative change in healthcare technology
An innovative and energetic workforce thriving on challenges and driving results
PRODUCT AND SOLUTIONS
Core Administration
Suite of leading-edge core admin solutions designed to deliver outcomes with reduced costs across multiple lines of business
SOLUTION GROUPS
Enrollment Plus™
Streamline enrollment processes and increase member satisfaction
Engagement Plus™
Next best actions for data-driven personalized care
Integration Plus™
Seamlessly integrate all your systems and data
Workflow Plus™
Automate and optimize operations
Insitz Plus
Operational insights, better and faster
Solution finder
Discover what works best for you. Use our intuitive solution finder tool to navigate through our suite of offerings and uncover tailored solutions designed just for you
Risk Adjustment
Proven technology and services solutions for health care plans and organizations, including Medicare Advantage
SOLUTION GROUPS
Solution finder
Discover what works best for you. Use our intuitive solution finder tool to navigate through our suite of offerings and uncover tailored solutions designed just for you
Quality Improvement and Stars
Proven, tailored programs combined with strong industry expertise to help plans measure, analyze, and implement quality and Stars strategies with impact
SOLUTION GROUPS
Solution finder
Discover what works best for you. Use our intuitive solution finder tool to navigate through our suite of offerings and uncover tailored solutions designed just for you
Who we help
As market leaders with decades of domain experience, we engage with a diverse range of sector, from commercial, to private to government, across all lines of business
Lower operating costs and improve outcomes with specialized solutions that meet regulatory requirements and member needs
Improved efficiency and lower costs delivered through core administration, risk adjustment, quality and care management solutions
Insights
Perspectives, best practices, and innovation for health plans from our team of experts and around the industry
Case studies
Real-world success stories and solutions
Blogs & articles
Industry analyses, opinions, and trends
Webinars
Online seminars for industry education
Brochures
Detailed information on products and services
Videos
Insights from leadership, solution info, promotional clips and product demos
E-book
Digital guidebooks for payers
Whitepapers
In-depth reports and informative research
Featured insights
Brochure
Accelerate improved diagnostic code identification and documentation
Blogs & articles
Efficient Ways to Improve Reimbursement Accuracy
Case study
Turning the Tide: A Health Plan’s Success Story Oversight Program Revitalizes Health Plan Facing Operational Challenges
Challenges and Opportunities in the Era of Interoperability
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