Comply with CMS requirements, reduce your risk of Part C and Part D audit penalties, and improve communication to your members.
Comply with CMS Part C and Part D
Improve the language on EOBs, personal health records and patient/member portals
Reduce call center volume from members who need clarification on EOBs and denial letters
Centralize and manage your reference data for clinical, claim, and business data to enable interoperability, drive compliance, and improve operational efficiencies.
Patients are demanding better insights and transparency into their care. They want to be empowered in their decision-making through better information about everything from diagnoses and care plans to quality ratings and cost.
Two converging trends are moving patient communication strategies front and center for today’s payers: Consumers are demanding greater control of their healthcare decisions; and regulatory movements are requiring better patient experiences.