Programs + Reporting

We believe the key to lower health care costs is better health care.

It’s as simple as that. By focusing on quality first, we keep medical and pharmacy trends low compared to our competitors.

Programs

We achieve this behind the scenes with more than 20 different programs that encompass the areas of network savings, care management and auditing. In addition, to tackle the issue of rising drug costs, we renegotiated our contract with our pharmacy benefits manager. Together, these initiatives enable us to manage rising costs for employers while maintaining our quality status of 4.5 out of 5 stars with the National Committee for Quality Assurance.1

Large Group Reporting

We offer a wealth of information to monitor our clients' plan performance. Our standard suite of reporting includes:

  • Plan-performance tracking
  • Aggregate claims reports
  • Population health engagement and results

We analyze claims data to evaluate and adjust benefit strategies or communication strategies to change behaviors. Learn more about our comprehensive reporting capabilities.

  1. NCQA’s Private Health Plan Ratings 2018-2019

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