A series of plug-and-play modules to run your plan
Health plans are feeling the squeeze from every direction. Increased pressures on cost, quality and regulatory compliance are shifting the strategies and needs to operate a plan.
Smart Series provides many capabilities to extend the reach and results of Commercial, Medicare and Medicaid plans. From claims administration through interconnecting your members, provider networks, brokers, and employers, health plans are supported in reducing medical loss and administrative costs.
The growth and evolution of care delivery systems assuming full risk continues to rise rapidly. The formations are many – ACO, DSRIP PPS, MSOs and even more traditional IPAs. Faced with new administrative challenges, population health and care coordination initiatives, the prospect of using EMRs and HIEs to resolve these issues falls flat.
Smart Series offers the full complement of solutions required to operate a full risk system.