GOVERNMENT PROGRAMS FOR ELIGIBILITY AND ENROLLMENT
Use payment counseling and program enrollment to identify and support financially-vulnerable members.
All Eligibility and Enrollment Solutions
Help increase dual enrolled population with accurate predictive modeling
Help members obtain and retain added benefits to optimize revenue and increase member satisfaction.
Our solutions use an industry-leading predictive AI model that finds 93% of members with the highest likelihood to qualify for full or partial dual eligibility.
Transform member eligibility and enrollment with industry-leading AI
Help facilitate member enrollment in high-quality programs that offset many social determinants of health to help increase your revenue and member satisfaction.
Our solutions use predictive modeling to find eligible members and include outreach and education about program benefits to help you enhance the healthcare experience.
Enable better outcomes with enrollment solutions
Facilitate member enrollment in Medicare Part D and high-quality programs to increase member retention and satisfaction.
Our solutions provide valuable benefits and support by enrolling members in programs that can enhance their quality of life and healthcare experience.
Our outcomes
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- Pharmacy Solutions Explore our pharmacy solutions and discover technology that helps automate operations and improve financial results for both independent and chain pharmacies. Learn more
- Risk Adjustment Analytics and Services Discover our industry-leading risk adjustment solutions, combined with support and score gap interventions backed by risk adjustment analytics. Learn more
- Data and Analytics Discover how our healthcare data analytics solutions help payers and providers turn data into timely, actionable insights to optimize revenue, cost and quality performance. Learn more
- Member Engagement Solutions Learn more about our healthcare member engagement solutions built on proven tactics for health plans to engage members and inspire them to take ownership of their health. Learn more