Benefit plans that inspire collaboration and client satisfaction.
Employer Reporting provides collaborative, high-tech tools and reporting that inspire more efficient and better-utilized benefits plans. With unprecedented transparency, health plans can aggregate, analyze and share plan-use analytics with employer groups as well as analyze the plan’s total population internally.
Identify usage trends to develop higher-performing benefits plans
Send highly tailored, automated reports to employers—better communication means better client relationships
Collaborate through powerful web-enabled platform
Consult with employer groups by leveraging real-time insight
Improve client retention with more transparent process; people stick with companies they trust
Raw membership data, medical and pharmacy claims, authorizations, provider information and third party data become more than just spreadsheet clutter.
Web-based analytics platform identifies trends with graphs that visualize how benefits are—and aren’t—used by employees and individuals.
Health plans help clients design more efficient benefits programs, manage health care costs and earn customer trust and loyalty.
Key Performance Indicators
- PMPM (Per Member Per Month) spend
- Total healthcare spend and trend
- Health plan discount
What It Offers
- Real-time insight into plan performance
- Data-driven benefit design
- Role-based security ensuring HIPAA compliance
- User-friendly, print-ready, customizable reports
- Access on the iPad
Medical & Medicaid Management helps you identify critical patterns and correlations that reveal exactly where to find savings. By pinpointing areas to take strategic action, mitigate catastrophic claims and promote better health, health plan staff gain an improved understanding of cost and quality drivers and at-risk populations—fully equipping them to steer quality, timely care toward their highest cost members.
Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.