Future-ready intelligent solutions for health plans
We’re driven to achieve Quadruple Aim, just like you
We have shared goals: reducing costs, providing better experiences for providers and members, and promoting better health outcomes. We work with health plans across all lines of business to achieve all four.
Utilization is up, administrative costs are increasing and market competition is intensifying. Catalyst exclusively works with payers and understands the unique challenges and opportunities that lie ahead. Our solutions “meet you where you are” to help you achieve your business goals.
Your health plan at its best
Make costs more predictable
Lower the costs of claims, billing and administrative activities with affordable, repeatable business outsourcing.
Win in your market
Strategize and implement ways to increase star ratings, win RFPs and be the plan of choice.
Be agile to change
Partner to help your plan nimbly navigate the regulatory landscape and stay in compliance.
Leverage the power of AI
Uncover opportunities in your plan to securely lower costs through AI.
Delight members and providers
Work with us to deliver repeatable top quality member and provider experiences.
Let us obsess over business process outcomes, so you don’t have to
Your health plan superpower probably isn’t claims processing — but it is one of ours. Catalyst’s business process outsourcing (BPO) solution optimizes front, middle, and back-office functions, all with financially backed SLAs on our platform or yours.
Been there, done that
The business of a health plan is complicated, and so is the technology that supports it. With more than 200 health plan clients, we know what to do — and what not to do. Let our consulting practices expertly guide your health plan.
Strategic Consulting
Gain in Quadruple Aim.
Operations Optimization
Get the most from your technology investments.
Technology Consulting
Streamline and simplify business functions.
CatalyZe™ your health plan with the platform of the future
Expensive, clunky core platforms are a thing of the past. CatalyZe™, our modular, Al-enabled platform can meet all of a health plan’s needs at a fraction of the cost of other systems.
We work with all plan types
Commercial | Medicare | Medicaid | Exchanges | Duals | Provider Owned/IDN | SNP | FEP | Tri-Care | Taft-Hartley | PACE/LIFE | Dental | TPA | Value Based | ACO | Self-Funded
Supported lines of business include
Our solutions are exclusively for health plans
A certified WBENC, Catalyst offers innovative business process outsourcing, consulting, talent and technology solutions for health plans of all sizes. We work with start-ups, the largest payers in the nation and all plans in between.