Our core platform that seamlessly integrates and analyzes medical claims, Rx claims, member eligibility, and biometric data, enabling users to:
- The most significant cost drivers and trends in healthcare expenditures
- Population risks according to evidence-based algorithms
- Employees and dependents with rising and
intervenablerisk that could lead to future spending
- Simulate and deploy health and wellness programs for cohorts segmented by condition, demographics, utilization, cost
- Measure the impact of health and wellness programs on key performance indicators such as health service utilization, cost, and population risk scores
Our portal that enables advanced clinical insights and medical management using a holistic view of employees’ and members’ health status and service utilization. A licensed physician will provide clinical recommendations regarding high-cost claimants, adherence to clinical guidelines and care gaps, and stop-loss management.
Our app enabling you to conduct targeted health and wellness promotion campaigns to support employees and their dependents in making proactive cost-effective decisions about their healthcare. Members and employees can use the zConnect app to view claims history, receive customized data-driven health recommendations and explore the benefits and options that best fit their needs.
A comprehensive longitudinal report that integrates up to
Quarterly Insights Report
A quarterly report that highlights cost drivers, population risks, and cost savings opportunities and recommendations to improve compliance with evidence-based preventative and wellness guidelines.
Stop loss Report
A report that provides a comprehensive analysis of all claimants according to the aggregate (spec) limit, cost trends and drivers, and trigger diagnoses, including a member-level summary.
An annual clinical report and review led by our medical director that presents population risks, conditions, complications, and underlying trends as well as recommendations on health and wellness programs and employee communication campaigns to proactively manage risks.