Strategy that delivers on Quadruple Aim
The health plan business is changing faster than ever
To help health plans achieve Quadruple Aim, we guide them on key initiatives in each area.
Better member experience
Value-based care strategy
Population health management
Higher clinical quality/STAR ratings
Reduce costs
Compliance
Reduced medical loss ratio (MLR)
Reduced administrative costs
Higher-quality processes/HEDIS measures
Actuarial analysis/support
Better health outcomes
Omni-channel member engagement
Effective wellness and disease management
Better provider experience
Provider contracting
Credentialing
Provider engagement
Build best-in-class engagement strategies
Health plans are contending with an increasingly sophisticated consumer base, expecting better experiences and higher-quality service. We’ll help you deliver for your members and providers.
For members
Use member data and analytics to streamline communications and touchpoints, encourage improved health through engagement programs and services, and increase member satisfaction scores.
For providers
Launch provider engagement programs that guide providers on encouraging member compliance, use technology to increase provider effectiveness and improve risk-score accuracy and star ratings.
Gain a competitive edge
Evaluate your market to understand product-market fit and learn what tools will best engage members and providers.
Competitive analysis
We help plans identify key competitors in your market, uncover their competitive advantage, and create business plans and FRP responses to win in their market.
Line of business product design
Our consultants partner with plans to develop innovative products with greater customer appeal, generating revenue and positive health outcomes.
Navigate a changing landscape
Navigate regulatory compliance, accreditation complexity and AI transformation.
Stay in compliance
Our teams conduct risk assessments and training to ensure plans are effectively detecting and preventing a wide array of compliance issues, including in medical documentation, billing and coding, health and safety, human resources and HIPAA/HITECH.
Meet key accreditation requirements
We help plans with accreditation preparation and reaccreditation with major organizations to ensure the quality delivery of clinical programs, such as case management, utilization review and disease management.
Evolve with changing digital trends and AI
Catalyst works with health plan stakeholders to develop strategies that meet a plan’s unique challenges while keeping pace with changing trends in the market.