With rising costs of care and fast-changing regulatory mandates, health plans need to invest in technology solutions that drive value-based care. Hexplora helps overcome various challenges in the areas of risk stratification, population health, accountable care and regulatory challenges like HEDIS and STAR.
Hexplora’s Benefits for Health Plans
Drive Value-Based Care
Elevate Member’s Experience
Problem-free Provider Network Management
Track Health Care Performance
All-inclusive analytics suite for Health Plans to go beyond the limits
Elevate member's experience
Offer top-notch services to members by improving engagement at every step, accelerating gap closure, sharing proactive measures over symptoms. Doing so will empower your enrollees to be your brand advocate and improve members' retention. With Hexplora's comprehensive analytics platform, any growing health plans can unleash performance with actionable insights transforming patient care.
Achieve Top NCQA rating across all measures
Being officially HEDIS certified, Hexplora is a trusted advisor for health plans on the accuracy of quality measure rates and care gaps. Our experts work hand-in-hand with health plans to ensure integrity and engage providers in compliance with quality measures. Our quality reporting solution allows health plans to track performance measurement of Quality Measures across Commercial, Medicare, and Medicaid lines of business, including HEDIS, STARs, and state-specific Medicaid measures.
Problem-free Provider network management
Have you noticed that many health plans have fallen into steep decline? One of the principal causes of poor members' experience is the collaboration gap with providers. Improving the collaboration and engagement will significantly improve desired health outcomes, so do the health plan performance. From narrowing the communication gap to enhancing patient care, Hexplora offers an enterprise-grade secured platform to health plans and providers to have complete visibility into performance and utilization metrics, hospitalization rate, ER visits, granular cost data, etc.
Hexplora at a Glance
Want to know how Hexplora will make a difference to your Health Plans?
Schedule a call with our experts.