Health IT Firms Insightin Health and Payspan Collaborate to Offer Member-Provider Engagement Solution for Health Plans
Together, the two companies will offer a platform that integrates their solutions, enabling health plans and providers to have complete visibility to identify patient-member care gaps, understand what quality measures need to be taken, and benefit from data insights about member behavior. By sharing this valuable information with each other, providers and health plan care managers can work together to effect care gap closures that improve health outcomes, facilitate quality care and reduce costs for health plans.
Payspan partners with Insightin Health to help health plans engage both members and providers in value-based care to effectively close care gaps, improve patient outcomes and reduce costs.
Payspan’s Quality Incentive Communication System (QICS) facilitates a two-way exchange of quality information via attachments between health plans and providers, leveraging its secure e-payments network. The Payspan network is the largest in the healthcare industry, connecting more than 750 health plans, 1.3 million provider payees and 1 million consumers. Health plans access QICS to share care gap alerts, guidance for quality measures and incentive reports. Providers, in turn, share proof of care cap closures to earn incentives.
QICS solves a significant dilemma for health plans, who struggle to engage providers with limited staff and resources for processing paperwork and applying complex value contracts. QICS gives providers instant access to a network of plans and the ability to boost their bottom line without having to exhaust internal resources.
Insightin Health is the only single platform that delivers a personalized experience for the complete life-cycle of member acquisition, retention and engagement. The artificial intelligence (AI)-driven platform leverages health data and social determinants to identify the best possible ways to communicate with members on a one-to-one level. By utilizing the platform, health plans can improve membership engagement, lower churn and increase measurement adherence. Clients usually experience an ROI of 5:1 within the first year.
Providers play a significant role in improving member engagement. The newly integrated approach with Payspan will allow the Insightin Health platform to provide health plans with complete measurement alignment and incentive transparency for providers as well as members.
“We saw a real opportunity to offer a solution that no other company has been able to develop, one that connects health plans and providers to improve star ratings and that provides one vendor to engage both providers and members,” says Insightin’s CEO Enam Noor. “What we’re pioneering is groundbreaking because doctors don’t get access to insights about their patients beyond their visits, and health plans need help engaging providers,” he says.
“We are so excited to partner with Insightin to offer a comprehensive member-provider engagement tool that helps health plans improve quality care through care gap closures, reduce cost through an electronic medical records exchange, and drive health plan revenue,” says Payspan’s Chief Product Officer Ben Lazar, who led the team that developed QICS. “We saw it as the perfect fit that we could share our data about provider care gap closure activity with Insightin, which has the platform and capability to present the data in clear insights that can be helpful to health plans in achieving value-based care.”
About Insightin Health
Insightin Health is the industry’s only single platform that provides data-driven decision-making technology for the complete life-cycle of the healthcare member journey to improve member acquisition, retention, and engagement. The artificial intelligence (AI)-driven technology leverages health data and social determinants of health information to identify consumer behavior to make recommendations to improve participation. Health plans gain quality membership and lower churn with increased measure adherence. For more information, visit http://insightinhealth.com.
Payspan is the nation’s leading provider of healthcare reimbursement and payment automation services, leveraging one of the largest healthcare networks in the United States to drive value-based care reimbursement, improve the patient experience and reduce costs for health plans and providers. Payspan connects more than 750 health plans, 1.3 million provider payees and 1 million consumers to facilitate alternative payment and reimbursement solutions and the exchange of meaningful healthcare information. www.payspan.com.