Payers

Improving quality, cost, and experience.

healthAlign partners with health plans of all sizes to coordinate services and close gaps in home care. Our platform empowers payers to better achieve Triple Aim balance through better alignment and fulfillment of in-home care and support services.

A better approach within the existing framework

Supplemental benefit solutions often overlook the critical dynamics of regulated agency guidelines, which ensure the quality and safety in the home. healthAlign brings together credentialed providers within the agency framework, establishing an administrative and fulfillment platform unlike any other. Our solution provides payers and their members with a superior home and community-based care experience.
Credentialing

Delivering only the highest quality care and support.

Each care and support service provider is required to undergo our credentialing process. We gather provider information and background, including necessary state licensures and authorizations.

REFERRAL MANAGEMENT

Automated fulfillment and active provider monitoring.

Provider performance scores are determined based on factors like member satisfaction, referral acceptance, fulfillment rates, and timeliness. All future referrals are prioritized and assigned to only the highest-performing providers.

After assignment, our system also monitors fulfillment and triggers escalation alerts if fulfillment does not occur as planned.

CLAIMS PROCESSING

Standardized data and simplified invoicing.

As a condition for payment, providers must submit visit data and documentation through one of the four platform input options. This allows us to organize and standardize the encounter data from many different provider systems.

Contact us to get started.

healthAlign helps you focus on what matters most – better member health outcomes, lower costs, and superior experiences.