Covered Lives

Strategic Planning & Business Development Teams

Use Case: Your strategic planning team can use the dashboard to assess regional payer enrollment figures, helping identify high-coverage payers and geographic areas for potential expansion of service lines or partnerships. This data supports informed decisions on resource allocation and growth opportunities.

Contract Management Team

Use Case: Your contract managers can leverage payer enrollment data to prioritize contract negotiations with high-enrollment payers, ensuring they are focusing on payers that cover a significant portion of the local patient population. This helps secure better terms and expand patient access to your services.

Revenue Cycle Management Team

Use Case: Your revenue cycle team can use the dashboard to identify top payers by enrollment, helping to align resources and focus efforts on resolving issues with payers that represent the largest patient populations. This data-driven approach can streamline claims processes and improve reimbursement rates.

Population Health Management Team

Use Case: Your population health team can analyze payer enrollment data by plan type and geography to better understand the coverage landscape and identify gaps in patient access. This information can be used to tailor care coordination efforts and improve patient outcomes by targeting interventions based on coverage trends.

Provider Relations & Network Development Team

Use Case: Your provider relations team can use enrollment figures to evaluate the network strength of key payers in specific regions. This data helps assess which payers to engage for network participation, ensuring alignment with those that have substantial patient coverage in your service areas.

Same application as above. 

• Strategic Planning & Business Development Teams
• Contract Management Team
• Revenue Cycle Management Team
• Population Health Management Team
• Provider Relations & Network Development Team