As Health Plans are struggling to keep pace with today’s competitive and dynamic market place, we recognize the need to have streamlined products that automate burdensome manual processes with no reliance on IT and maximum flexibility to adapt to unique needs.
At Simplify Healthcare, we help Health Plans achieve operational excellence with higher quality and lower risks.
How can we help you
Create a Single Source of Truth for Benefit Plan Data
Configure complex benefit plans and achieve operational excellence with improved speed-to-market, accuracy and cost-effectiveness.
Medicare/Medicare Advantage Plan Solutions
For Medicare/Medicare Advantage Plans that want to streamline Medicare compliance and to achieve maximum growth with easy Medicare Product Configuration.
Restructure Provider Data, Directory and Contracts
Make your Provider Data, Directory and Contracts accurate while improving compliance and quality.
Value-Based Payments: Quality over Quantity
Helping Health Plans deliver “VALUE” in Value-based care with 100% accuracy, compliance and transparency.
Our solutions enable Health Plans to:
INCREASE DATA ACCURACY UP TO
INCREASE SPEED-TO-MARKET UP TO
DECREASE ADMIN COSTS UP TO
ERRORS UP TO
What our customers say.
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.