Client Success

Adapt to Change and Discover Opportunity

Verisk Health is committed to helping Third Party Administrators (TPAs) succeed in the fast-changing healthcare environment.

As employer groups shift their focus from administrative efficiency in healthcare to advanced medical analytics that support both chronic disease and wellness programs, we provide the technology and strategic insight into your data needed to anticipate change and find new opportunities in the market.

Get the whole picture

We offer comprehensive clinical and financial analytics, benchmark datasets and reports to create a clear picture of the current situation. Whether you need to augment your current system with decision analytics or build a toolset from the ground up, we will help you gain the confidence to make informed decisions for the future.

Powerful analytics combined with focused guidance

Our experts’ unique perspective on medical and financial risk can provide additional insights into the information revealed by our technology, outlining clear courses of action and opportunities to lower cost and improve outcomes that will help you grow your business in uncertain times.

Verisk Health supports third party administrators with solutions for:

• Cost Containment

  Improve efficiency and cost control for the clients you serve, identifying gaps in care at the member level and addressing the drivers underlying increasing medical and pharmacy costs, while streamlining and reducing the overhead associated with your own monthly reporting.

• Medical Management

  Determine the best strategies for efficient delivery of medical services, including disease and case management services, and wellness programs.

• Value Demonstration

  Effectively demonstrate the value and excellence of your services to your clients with advanced employer reporting, showing them that you can generate a positive ROI. Our case studies show the success other Verisk Health clients have had.

• Opportunity Creation

  Our tools give you ways to use your data more efficiently to gain client insight and offer new services that differentiate you from competitors. Our analytics will reveal ways to grow business, highlighting areas in which your clients may benefit from further guidance and new programs.

Products and services we offer for third party administrators include:

Sightlines™ Medical Intelligence »

Our data analytics and reporting platform supports clinical outreach and pinpoints opportunities for medically sound, financially effective interventions. Its robust report manager handles scheduling and distribution of more than 30 different comprehensive, professional reports – simplifying and streamlining employer reporting processes.

Sightlines™ DxCG Risk Solutions »

The industry standard of risk adjustment and prediction engines can analyze and quantify both financial and clinical risk. Use it inside the Sightlines Medical Intelligence platform or as a standalone tool.

For additional information, please contact us.