Claims staff face more challenges than ever, and they need a technology experience built to meet today’s complex demands. Our claims technology was built based upon insights gathered directly from claims staff, helping us create tools that are intuitive, easy-to-use, and that address their ever-evolving needs.
Managing treatment for workers’ comp patients has in some ways become more complex, and the factors impacting prescription drug utilization continue to evolve. Comorbidities, behavioral and social barriers, evolving drug trends and out-of-network drivers – you need a pharmacy partner that keeps ahead of changing landscapes that can impact worker health and outcomes – and your associated costs.
Leveraging our clinical expertise and analytical capabilities, we work directly with our customers to help highlight opportunities to optimize the costs, utilization, and safety associated with prescription drug activity in their populations. And then we deliver on strategies that support these recommendations.
Managing ancillary benefits has historically been a heavy lift for payers and claims teams alike, due to a multitude of different vendors, products, services, stakeholders, and technology systems. To ensure consistent program outcomes, you need a consistent experience with transparency into costs, timing, performance metrics, and so much more.
Our flexible, multi-vendor ancillary benefits model connects our customers with their preferred vendors, but removes the burden of vendor procurement, contracting and implementation. We integrate all ancillary medical vendors and services to centralize the claims experience, providing our customers with an experience that is consistent, and which delivers full visibility into products, services, costs, and performance.
The workers’ comp system is full of fragmented data that is ready and waiting to help create a more holistic view of patients and populations. Unfortunately, that data is buried and obscured within clinical records and throughout a patient’s care continuum.
Healthe is here to do the heavy lifting and capture, analyze and transform this scattered data into practical insights that inform clinical and business decisions and drive positive action at all stages of the claims process. We accomplish this by leveraging smart technologies such as artificial intelligence and machine learning tools to standardize data from multiple sources and extract key data elements that provide insight and context to clinical and claims complexities.
For every stakeholder whose life we touch – from our customers and their claims staff, extending to providers, vendors, and patients – we establish high-touch connections and build relationships that instill trust and confidence under any circumstance.
We’re ready to listen and we’re ready to collaborate on the ideal solutions for your unique pain points. No detail is too small when it comes to customizing our solutions to enable your goals and strategies for your workers’ comp managed care program.
We’d love to learn more about your specific goals and challenges. Let us show you what Healthesystems can do for you.
