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Payers

Drive down costs and elevate operational efficiency with automated solutions tailored for all health plan types—Commercial, Medicaid, Medicare, and more.

Solutions to Revolutionize Healthcare Payer Operations

  • Teamwork@4x 1

    Scalability & Flexibility

    Employ flexible, interlinked, and personalized CAPS that scale in harmony with the growth of your healthcare organization.

  • Laptop@4x 1

    Complete Integration

    Get full systems integration to ensure complete and efficient data transfer between systems.

  • Expert Assurance Solution

    Expert Assurance

    Our experts, coupled with BPaaS, BPO, staff augmentation, and consulting capabilities, guarantee accuracy and timeliness, leading to substantial savings, unwavering compliance, and exceptional customer service.

  • Automate Processes

    Automate Processes

    Utilize our CAPS technology to optimize operations, leading to significant time and cost efficiencies for your organization.

Commercial - healthcare payers

Flexibility for Commercial Health Plans

The reality of a shifting marketplace demands solutions that are as adaptable and integrated as they are functional. That is why HealthAxis aims to provide a future-proof technology to our clients, thereby ensuring they retain the edge needed to stay competitive and effective.

Our technology enables self-funded employers and commercial health plans to remain flexible while providing quality customer service and reducing overall risk. Highly customizable and automated, our system configuration capabilities provide flexibility in establishing various benefit and wellness plans.

Build new products in a short period of time and quickly launch new lines of business in response to new market opportunities

Easily configure and manage multiple various benefit plans unique to small, mid-size, and large employer groups

Respond to new payment reform models and handle a variety of reimbursement methodologies

Lower administrative cost by automating key processes and workflows

Be flexible and integrate multiple vendors and benefit programs

Enhance the quality of care and clinical outcomes, resulting in better metrics and higher reimbursements

Deliver superior customer service by providing real-time, 24/7 access to critical information

Ensure regulatory compliance with changing regulations

Medicare Advantage Payers - healthcare payers

Efficiency and Adaptability for Medicare and Medicare Advantage Payers

Medicare and Medicare Advantage organizations compete in a highly competitive and regulatory environment while serving the increasingly complex needs of their members. We believe adaptability is key to navigating these complexities and offer our unique solutions, AxisCore™ and AxisConnect™, with this in mind.

We designed our latest-generation, single, comprehensive and interoperable digital platform to help organizations increase operational efficiency, decrease operating costs and maintain and improve the quality of care.

Enroll and reconcile members accurately and easily

Automatically verify data upon CMS response

Improve STAR ratings and other Quality ratings for high-caliber care and clinical outcomes

Achieve and maintain compliance with new government regulations

Deliver transparency of information for superior plan and member customer experience

Lower administrative costs significantly by automating workflows

Leverage voluminous clinical, administrative, and operational data aggregated from multiple disparate sources

Streamlining Medicaid Plan Care and Compliance

Streamlining Medicaid Plan Care

Medicaid plans, inherently challenging for health plans, cater to diverse populations, including lower-income and elderly patients with complex health issues. Each state's unique requirements add layers of complexity and fragmented engagement.

HealthAxis understands these multifaceted challenges and brings specialized knowledge in navigating the intricate web of state-specific regulations and administration. Our expertise, paired with our cutting-edge CAPS technology and modern BPaaS and BPO capabilities, ensures high-quality care delivery, cost control, and consistent compliance with evolving Medicaid policies, addressing the intricate needs of Medicaid plans and their beneficiaries.

Tailor solutions to meet state-specific Medicaid regulations

Streamline Medicaid plan management with advanced CAPS technology

Optimize resources to control expenses effectively

Enhance member outcomes with integrated care systems

Flexibility to respond to changing Medicaid policies and needs

healthcare payers

Simplified Solutions for Special Needs Organizations (I-SNP, IE-SNP, D-SNP and C-SNP)

With over 150,000 members served through our clients, HealthAxis is a leading provider of cutting-edge technology, comprehensive third-party administrative services, and robust solutions focused specifically on the special needs market.

We understand the requirements of this complex population and deliver unique tools and capabilities to help our clients thrive. We proudly serve some of the fastest-growing independent SNPs in the market.

Efficiently track
provider claims

Pay facility capitation

Support SNP eligibility management

Create and modify dashboards for high needs members

Address diverse healthcare needs

Integrate with EHR systems

Program of All-Inclusive Care for the Elderly (PACE) programs

Navigating PACE Plan Complexities with Confidence

Program of All-Inclusive Care for the Elderly (PACE) programs require specialized understanding due to their focus on comprehensive elderly care and unique regulatory framework. HealthAxis has experience in addressing the operational and compliance complexities inherent in PACE plans.

Our solutions are specifically crafted to address the unique challenges of PACE programs. They facilitate streamlined care coordination, ensure strict adherence to regulatory standards, and enhance operational efficiency.

Facilitate comprehensive care for the elderly with seamless coordination

Ensure strict compliance with unique PACE regulations

Boost efficiency with innovative CAPS and BPaaS solutions

Expert guidance in handling PACE-specific operational complexities.

Focus on improved care quality for PACE beneficiaries

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See The Power of HealthAxis

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