Intellias manages IT platforms for the specific needs of individual health insurance plans across commercial, Medicare and Medicaid (MMIS) domains. We do this through:
- Data aggregation and analytics to centralize and analyze member data to predict churn and identify growth opportunities
- Digital transformations to use market-ready digital platforms to respond to member needs effectively
- Intelligent automation to streamline processes to enhance member transitions
Lack of transparency, personalization and sophisticated digital capabilities have historically plagued the health industry, contributing to it having one of the lowest Net Promoter Scores. Additionally, care fragmentation and lack of real-time data exchange across health ecosystems often result in poor engagement and health outcomes for members.
Intellias healthcare payer solutions leverages automation and cutting-edge technologies to facilitate seamless collaboration and coordination for enhanced customer experiences with providers and plan benefit managers.
Archaic legacy systems and security controls can introduce risks for health plans to remain compliant with regulatory requirements. Intellias healthcare payer consulting helps organizations implement robust data security measures and electronic recordkeeping systems that align with industry standards and privacy regulations. We also use AI-powered tools to conduct audits, analyze claims data and monitor transactions to easily identify and address any compliance issues quickly.
Intellias offers health equity, analytics and reporting solutions to enable health insurance plans to improve accessibility and convenience for their members. Through data science and AI-driven solutions built on cloud connectivity, we optimize administration cost and clinical care.
