Showing 11 - 20 of 36 results

Services

Core Administration

… your plan so you can focus on top line growth, outcomes and care for members … Welcome to our cloud-based payer … that powers our BPaaS ecosystem, our solutions help Medicare Advantage, Medicaid, Commercial, ACA and exchange plans … existing claims administration, Risk Adjustment, member management, and care management solutions … Handle a …
Webinar

Claims Management: The Power of Tech Workflow Solutions

… national payers running government programs, including Medicare and State Medicaid Demonstration programs and military healthcare operations. … Guest Speaker … Alison South … 2 … 10 … Claims Management: The Power of Tech Workflow Solutions … insights …

Page

Home page

… business, we are singularly focused on unburdening health care. Through our best-in-class, scalable, ecosystem-based … expertise in Risk Adjustment, Quality Improvement and Stars management, we help improve efficiency while lowering your … BPaaS solution is a modern, integrated ecosystem of healthcare operations, processes, and solutions with scalability, …

Solutions

Engagement Plus®

… are vital for competitiveness in a consumer-driven healthcare landscape. The Engagement+® Software as a Service … consultancy and advisory services to optimize business management and enhance member experiences. … Improved … … Better member experience with data-driven personalized care through best-in-class engagement solutions, integrated …

Solutions

Enrollment Plus™

… enrollment channel across commercial, marketplace, Medicare and Medicaid lines of business, inefficiencies in … timelines. Transition from traditional enrollment management with limited automation to being connected with … … We deliver a single platform as a service for healthcare enrollment management, member validation, and real-time …
Case study

Small Changes Lead to Big Impacts

… continue to be a significant driver of rising healthcare costs, often stemming from outdated systems and … spending accounts for 15% to 30% for U.S. healthcare expenditures, with at least health of this spending … and implement the most effective improvements. Change management was key to our success. By promoting a culture of …

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Who we help

… and Stars – all developed with the specialized needs of Medicare Advantage, Medicaid, Dual and SNP plans in mind         … in Core Administration, Risk Adjustment, Quality and Care Management solutions         … With a focus on lowering …
Blogs & articles

Navigating Digital HEDIS®: With Innovations in Data Reporting

… Health plans must adopt advanced analytics engines and data management systems capable of processing large volumes of … indicates low measure performance in the Effectiveness of Care domain, specific campaigns can target improvement … effective and address common gaps. Similarly, for Access to Care measures, insights might suggest the need for provider …
Event

RISE National 2025

… National attracts over 2,000 executives and senior-level management from Commercial and Medicare Advantage Health Plans, Provider Groups, Integrated Health Systems, and Accountable Care Organizations. Join Elaine Taverna at our roundtable …
News

UST HealthProof Launches 2025 Summer Internship Program

… bring to UST HealthProof as we continue to advance healthcare solutions,” said Kevin Adams, UST HealthProof CEO. … be working alongside our teams to tackle real-world healthcare challenges while bringing new perspectives to UST … Intern (Temple University) Dhruvi Shingala, Healthcare Management Operations Intern (State University of New …