Success in the new world of Consumer Directed healthcare demands that your information delivery system facilitate both data integration with a multitude of sources and communications with all community members - Providers, Brokers, Employers and Members. Healthx offers technology and communications solutions to successfully meet this challenge. Our solutions are easy to use, offer the right diversity of services, facilitate fluid communication, and continue to uncover savings rooted in economies of scale.

Healthx understands the competitive challenges Payers are faced with in this new consumer driven marketplace. We help our Payers evolve from claim payment and processing administration to highly effective healthcare managers. Healthx integrates “best of breed services” from multiple world class vendors to help you cost-effectively and efficiently deliver the four corners of a complete Consumer Directed solution:

Health Plan Coverage
Savings/Spending Accounts
Wellness/Disease Management
Relevant Decision Support Information

Healthx solutions offer streamlined data delivery, secure communications, and pre-integrated solutions for a consumer driven marketplace:

A high degree of web portal configurability

Secure interactions between members, employers, brokers and providers
Dynamic presentment of benefits information based on user roles
Direct access to other sites with a single login

Disease Management and Predictive Modeling

Advanced Reporting and Predictive Modeling
Comprehensive Chronic Disease Management
Provider Profiling and Intervention

Pre-integrated Consumer Directed healthcare tools

Interactive health & wellness awareness programs
Web-based personalized Wellness Programs
Hospital, Pharma and Physician comparison tools
Treatment & Coverage Advisors
Illustrated information on surgeries, conditions and tests
Reward programs for members

Paperless Enrollment & Eligibility Management

High degree of configurability
Improving the eligibility management process

Phone/IVR-faxback technology

Convenient self-service for providers
A simple way to reduce provider inquiries to customer service reps

Multi-purse / purpose benefits card

Automated employee spending account management
Greater FSA, HSA and HRA participation
Increased employer satisfaction

National Pharmacy Alliance

PBM and consulting services
Lower-priced, completely transparent pricing model
Significant savings

Convenient online retail services

Discounted prices on over-the-counter items
Convenient purchasing of durable medical equipment
Free shipping on most orders

Automated Outbound call programs

Greater response from members as compared to traditional mail campaigns
Effective way of driving behavior, i.e. flu shot and mammogram reminders
A simple approach to communication

We continue to explore, develop and identify technologies that streamline the business processes for our clients and empower members with the best tools to make more informed healthcare decisions. Our communication and technology solutions are utilized by hundreds of payers, thousands of Providers and Employer Groups and over 15 million members nationwide. We give our payers the ability to customize healthcare services down to the individual member level creating credible competitive advantages over larger payers.