Case Studies
Challenges solved, lessons learned
Working Smarter, Not Harder
The Sales team at a Top 10 National Payer needed to stand out from their competitors when responding to Employer Group Benefits RFPs. To do so, quickly generating network access reports was critical for strong RFP responses.
ReadThe Best Offense Wins
For an expanding health system, better knowledge of their network was extremely important for payer relations, especially during contract negotiations.
ReadMore Than Meets the ROI
For a New York health plan, smarter provider network management was a better investment than they imagined.
ReadGrowing Nowhere Fast
Learn how this health plan accelerated it's expansion into new counties and states.
ReadA Tale of Two Networks
An accidental A/B test reveals there are two ways to build a network — and one of them’s a nightmare.
ReadOversight, Meet Insight
A large state regulator finally gets the tools it needs to do the job right.
ReadToo Bad to Ignore, Too Big to Fix
A vision managed care company confronts a provider data nightmare.
Read“Are We Compliant — or Not?”
It was time to take the guesswork out of CMS and state adequacy requirements.
ReadUniting an Enterprise
They set out to solve adequacy — and built a stronger business along the way.
ReadBuilding Their Own HMO
A large urban metro health system finds the partner it needs to go it alone.
ReadTake the First Step From Adequate to Excellent
We partner with 95 percent of America’s health plans and have experienced the challenges of provider network design, optimization and management. We’ve built our platform by working side-by-side with you and working closely with CMS and more than 30 state regulatory agencies, independent review organizations and brokers. We know what the regulators are looking for and what tools your organization needs to build differentiated and excellent provider networks and member experiences. Contact us today and book a strategy session.
