Employees can access medical opinion and decision support in one click
Sapphire’s Care Guidance program, in coordination with ConsumerMedical®, meets members where they are in their healthcare journeys and supports them throughout the care continuum. Our integrated offering on the S365® platform enables personalized, informed decision making in the context of the digital care shopping and selection experience. With the right tools in hand when and where consumers need access to information, employees understand the resources available to them, their costs upfront, are empowered to make an informed decision on the best care for their needs, and receive valuable incentives.
The holistic, fully integrated solution presents consumers benefit information along their health care journey and guides them to utilization of benefit offerings when they need them.
- Drive healthcare literacy and empower employees to compare costs and find the right care using Sapphire Digital’s Transparency tool and SmartShopper digital platform
- Easily navigate to ConsumerMedical’s live clinical support including Surgery Decision Support® , Expert Medical Opinion, and Medical Decision Support®
- Engagement campaigns increase awareness and utilization of benefits
- Cash incentives steer members to affordable care and treatment and improve compliance
- One contract, one payment model, combined reporting
- The program lowers unnecessary healthcare spend, and increases member satisfaction.
Now as a part of Zelis, we are poised to deliver on these promises as a strategic technology and strategy partner to heath plans, employers, third party administrators and their membership by bringing payers, providers, and consumers together into one efficient system.
For more information on how Zelis+Sapphire can help, contact your sales representative or Account Manager.