Health Plans

Our solutions deliver precision intelligence to manage the risk and cost associated with complex diseases like cancer, while improving overall member experiences.

Our Platform for Health Plans

We provide payers with streamlined decision support solutions for complex disease management in the specialized precision medicine market.

Approval of molecular tests and targeted therapies require a higher level of rigor, sensitivity to timeliness and a greater degree of collaboration with providers.

Our solutions can help payers reduce substantial waste and response time to prior authorization and approval requests based on real-world evidence at the point of decision.

Enable Data-Driven Decisions with Real-World Evidence and Actionable Intelligence

Extract, curate, structure and analyze claims and clinical, genomic and other datasets.

Liberate key insights and generate clear evidence of treatment effectiveness.

Enhance Prior-Authorization Process and Improve Member Experience

Support timely specialty case reviews.

Validate effectiveness of treatment utilizing quality and outcome analytics.

Enhance evidence-based approval on the appropriate opportunities for molecular testing and therapies.

 

Improve Guideline Adherence and Manage Cost

  • Improve provider collaboration by implementing clinical guidelines and pathways that are continuously updated and embedded into the clinician workflow.
  • Facilitate collaboration to develop best practices.
  • Improve member access to the right clinical trials.
  • Compare and benchmark quality, cost and outcome metrics among providers and across organizations.

Enable Value-Based Payments

  • Expedite the convergence of precision medicine and population health to better manage risk and reduce cost.
  • Identify, quantify and monitor risks, costs and associated outcomes for treatment.
  • Measure and track value-based performance.

ADVANCING MEDICINE WITH PRECISION INTELLIGENCE