Comprehensive health plan management solutions for population health, member engagement, and quality measures. Drive better outcomes with integrated analytics, care coordination, and automated reporting that transforms health plan operations.
From population health management to quality reporting, our platform addresses the core challenges facing health plans today.
Track member health across large populations with real-time analytics and predictive insights.
Automate HEDIS, Stars, and CMS quality measure tracking with real-time reporting.
Engage members with personalized health programs and preventive care reminders.
Everything you need to manage population health, improve quality outcomes, and optimize operations.
Integrate claims, clinical, and social determinants data for 360-degree member view.
AI-powered identification of care gaps with provider-specific action plans.
Machine learning models predict member risk and intervention opportunities.
Analyze provider performance and optimize network for quality and cost.
Live dashboards for quality measures, utilization, and financial performance.
Automate care coordination, prior authorization, and member outreach processes.
Measurable improvements in quality scores, member satisfaction, and operational efficiency.
Improve HEDIS measures and CMS Star Ratings with targeted interventions.
Personalized care programs that improve satisfaction and outcomes.
Automate workflows and reduce administrative overhead.
Connect with your existing systems and streamline operations with automated workflows designed for health plan efficiency.
Connect with major clearinghouses and claims processing systems.
Real-time connectivity with provider EHRs and practice management systems.
Automated HEDIS, Stars, and regulatory reporting with audit trails.
Join leading health plans that have improved quality scores, enhanced member satisfaction, and optimized operations with Simpl Healthcare.