Member & Provider Engagement
SS&C Health helps you digitally transform your organization with healthcare technologies designed to deliver more seamless access to care, transparency and information—elevating member and provider experiences.
Increasing Therapeutic Visibility for Providers
How using real-time benefit enabled drug price transparency at point-of-care and resulted in reduced PA administration plus plan cost savings.
Provider Pricing: Automate Claims Pricing for Complex Pricing Arrangements
Configure complex pricing arrangements without IT support, lower operational costs for manual claims processing; adaptable to any claims platform.
Enhance Your Member Experience to Increase Engagement
Health plan digital front door, personalized member engagement capabilities; visibility into member benefits enable health and wellness strategy.
Improving Access and Controlling Costs
Our member and provider engagement solutions streamline access to care information and services supporting wellness, disease management and prevention, reducing costs, and improving outcomes.
Digital Experience Platform Built specifically for health organizations to empower member self-service of their medical and pharmacy benefits and facilitate member communications.
Prior Authorization (PA)/Electronic Prior Authorization (ePA) Flexible options supporting all channels of prior authorization including a self-service solution with clinical support, or an extended-service solution including coverage determination, member and physician communications and outcomes reporting. Our ePA solution automates PA criteria and formulary requirements at the point of care, eliminating manual effort for providers and significantly reducing turnaround time to minutes-hours.
Co-Pay Assistance and Drug Discount Card Administration Administration of prescription product manufacturer copay cards and drug discount card programs to reduce out-of-pocket prescription costs for members, win new customers and build loyalty.
Provider Analytics and Value-based Payment Real-time value-based analytics at the point of care, automated provider pricing for complex pricing arrangements, and provider report cards align providers and payers working in concert to improve patient outcomes, value-based performance and shared savings.