With the increasing federal regulation focused on consumer data empowerment and healthcare cost transparency, employers, health plans, and hospital systems face increased pressure to present accurate financial and quality information to the healthcare customers they support.

Our nationally recognized Sapphire365 platform provides and essential underlying backbone and data management platform to accurately present provider, facility, pharmacy, and other program data in a single easy to use shopping experience within any market. At the same time, our scalable platform provides a solid framework to coordinate accurate pricing across markets as consumers consider price from a number of different vantage points.

Commercial Health Plans & TPAs

Leveraging our S365 platform, we help Health Plans and Third Party Administrators create useful, engaging, and memorable healthcare shopping, selection, and access experiences. By coordinating and orchestrating care access and scheduling partners, we reduce friction in the member journey to increase member satisfaction and outcomes.

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Medicare Plans

Medicare Advantage members are increasingly digital but many still prefer an interactive conversation where concerns are shared and addressed. Our S365 platform and CareAdvantage program provides a number of resources to help this audience find and manage discovery, cost, and access to the right care.

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Employer Groups & Labor Markets

Complexity of healthcare impacts employees. Confusion and sometimes rich benefits packages can lead to higher costs for employers because employees don’t always make the most cost efficient selections. Our SmartShopper program helps employers manage costs through those headwinds.

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Hospitals & Health Systems

More than ever before, the patient has more responsibility for the healthcare dollar. Right to shop legislation is being approved in more and more states adding to the more unique strategies being introduced by payors. It seems likely that Transparency in Coverage rules that were just upheld will soon require facilities to post payor-negotiated rates for 300 services, and changes to Medicare Advantage and Interoperability rules will soon be in place. COVID pandemic is altering the market landscape with anticipated pent-up demand for services, more cost-conscious consumers, and users struggling to navigate the healthcare system.

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