QUANTUM HEALTH - Meet A Vendor
Shortlister hosted Missy Jaeger, VP of Consultant Relationships at Quantum Health to understand how navigation guides members through care experiences and drives savings for self-funded employers.
NAVIGATION IS AN ESSENTIAL PART OF THE HEALTHCARE BENEFITS EXPERIENCE
It’s commonly understood that the healthcare system is complex, and its complexities can’t be resolved by any one solution. There is no silver bullet and for the system to change, it will require seismic shifts. Independent healthcare navigation and care coordination is designed to resolve this complexity in an alternative way. Instead of trying to fix a broken system, healthcare navigation focuses on addressing the consumer experience.
WHO IS QUANTUM HEALTH?
Quantum Health is the industry’s leading consumer healthcare navigation and care coordination company. They deliver an unparalleled customer experience based on empathy and trust, while also delivering exceptional satisfaction rates and independently validated claim savings. Launched in 1999, Quantum Health’s model is based on years of consumer research and the insights gained by guiding millions of consumers and their providers through a healthcare journey.
QUANTUM HEALTH’S SOLUTION
In addition to industry-leading independent healthcare navigation and care coordination, Quantum Health offers:
- Advocacy
- Claims Assistance
- Member Services
- Clinical Services
- Provider Services
- Omnichannel
QUANTUM HEALTH’S SOLUTION
Quantum Health provides one flexible platform, a place where employees and their doctors can go for help. Members’ ID cards connect include one number for both them and providers to call.
They also provide health plan members with a guided experience platform for a single point of entry — one phone number, one member portal, and a mobile app that seamlessly integrates services from skilled, knowledgeable staff who advocate for members.
Here is what sets Quantum Health’s human-centered, technology-enabled service apart:
- Support for every customer — Quantum Health serves the entire member population, not just those on complex health journeys.
- Timing is everything — Quantum Health’s unmatched early intervention saves costs and pain for everyone.
IMPACT OF REAL-TIME INTERCEPTTM
Quantum Health’s proprietary Real-Time Intercept™ model identifies opportunities for early intervention in an employee’s healthcare journey, improves engagement, and ultimately drives cost efficiencies. Here are some of Quantum Health’s recent data findings on the impact of RTI in terms of costs, healthcare decision-making, and engaging consumers and providers.
- 88% of high-cost claimants engaged through Real-Time Intercept™
- 83% of first intercepts are benefits orientated – traditional UM alone will not adequately trigger
- 4x difference in savings when intercepted 4 to 6 months before a trigger month
- 12% lower costs in cases with RTI initiated by a provider inquiry
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