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Platform and member outreach portal

What we do

Identify: recognize opportunities for cost savings

Identifying opportunities for cost savings and risk mitigation with predictive analyses enables TPAs to determine:

Data-driven identification of cost drivers
Client-specific predictive analysis to address prospective risk
Prioritized savings opportunities based on spend and population risk

Act: target cost drivers, implement solutions, engage, and drive action

Developing a population-specific library of actions and solution tool to tackle prioritized areas provides TPAs

Detailed population-specific action plans
360-degree view of member for health and wellness management
Personalized member-specific engagement and outreach

Connect: drive engagement and positive member experience

TPAs can create an engaging member experience through personalized recommendations and communications. This empowers members to use their health benefits effectively and result in:

Enhanced member experience
Personalized recommendations to improve member engagement
Provider guidance and benefits education

Track: visualize the impact of engagement actions

By tracking the impact of actions on spend and member health (and adjusting actions accordingly), TPAs are able to:

Monitor progress and impact of actions
Find opportunities to change interventions
Set goals and develop insights and levers to adapt solutions

How we can help

Identify (zAnalytics)

Top chronic conditions and prospective risk scores
Gaps in care and high-risk cohorts
Prioritized opportunities
Provider analysis
Track Rx utilization
ED use trends

Track (zAnalytics)

Set goals and track progress with a dashboard of engagement and quality metrics
Compare different programs to view efficacy
Receive helpful insights & levers to tweak solutions

Act (zNavigator)

Implement actions and solution pathways such as telemedicine, diabetes management, coaching etc.
Choose from a library of actions clinical or plan design to implement
Engage with the population at a member-level through the zNavigator member portal
Send campaigns to specific cohorts based on certain conditions

Connect (zConnect)

From reminders on PCP visits to getting instant responses to 100s of commonly asked questions about deductibles and places of care and much much more; employees are able to make better decisions and ultimately save money for the plan sponsor.