THE MOST GROUP IS NOW

Simplify Healthcare.

Are you a Health Plan struggling with complex and manual processes, errors, compliance and penalty risks for your benefit products, MA compliance, provider data and contracts and value based purchasing?

Simplify Healthcare replaces band-aid solutions and disconnected manual processes with streamlined end-to-end solutions.

 
 
 

Benefit product and plan, MA product and compliance documents, Provider data and Contract, Value-based purchasing.

Simplify’s solution enable Health Plans to:
  • Increase speed-to-market
  • Reduce admin costs and compliance risk
  • Reduce claim errors

 
homepage-banner-6.jpg
 

Health Plan Pain Points

Simplified.

Payer-Pain-Points.jpg
background-blue-eps-6.jpg
 

Our Solutions.

eBenefitSync_logo.jpg

SIMPLIFY BENEFIT PLAN CONFIGURATION.

Automate the end-to-end benefit product lifecycle.  Improve speed to market of government and commercial business and automate compliance document generation. Cut admin costs.  And create a paperless streamlined workflow.

 
eMedicareSync_logo.jpg

STREAMLINE MEDICARE ADVANTAGE COMPLIANCE.

Leverage our turn-key CMS PBP integrated (import and export) solution to generate all compliance documents (ANOC, EOC and SB) using paperless, streamlined workflow. Improve speed to market, reduce admin costs, and lower risk of penalties.

 
eProviderSync_logo.jpg

SIMPLIFY PROVIDER DATA CONTRACTS.

Simplify provider data, enrollment, and contract configuration.  Improve compliance on provider directory, and auto credentialing.  Create streamlined, paperless workflow.

 
AP2_logo_HORZ_KO.jpg

AUTOMATE FFV REIMBURSEMENTS.

Improve FFV (Fee for Value) payment accuracy, transparency, compliance, and timeliness. Create streamlined, paperless workflow.

 
 

Case Studies.

large-health-plan-case-study-thumbnail.jpg

eBenefitSync

A large Health Plan consortium improved speed-to-market by 70%. Reduced data redundancy by 90%

large-tpa-case-thumbnail.jpg

eMedicareSync

Health Plan generates 100% accurate Medicare compliance documents on time. Reduces effort and admin cost by 75%. 

mid-size-health-plan-case-study-thumbnail.jpg

eProviderSync

Health Plan selects eProviderSync to integrate all provider data and contracts into a single source of truth.

AP2-case-study-thumbnail.jpg

AP2

Health Plan improves FFV payment accuracy, processing time,  transparency, compliance and timeliness.

 
background-green-ebs-3.jpg
 

BENEFITS BUSINESS LEAD

Simplify Healthcare development team was responsive, knowledgeable, and definitely seems to ‘get it’. I’ve used their benefit administration product for over 4 years, and each time a new release is rolled out I am impressed with their ability to understand our requirements and anticipate the functionality we need most.

DIRECTOR - MARKETING COMMUNICATIONS

eMedicareSync reduced 75% time and effort to build Medicare/Medicare Advantage products and auto-generated all documents in time and with quality. This was our first CMS submission where there was no chaos due to last minute changes.

 

FORMER LARGE HEALTH PLAN PROVIDER EXECUTIVE

In my opinion, eProviderSync is the only end to end solution that can help solve the Provider data and contracting challenge in the industry at the root cause. It creates a robust, configurable single source of truth and has a intelligent algorithm to the keep the data updated.

VBR PROJECT MANAGER

We had exceptionally aggressive timelines to deliver and deploy a very complex payment reimbursement system.  Simplify Healthcare was able to meet the deadlines, even as our customer continued to add requirements while we were in trial testing.  Their team worked many nights and weekends to enable our Plan to go live on time.