WHO WE SERVE

SELF-FUNDED EMPLOYERS

Sophisticated data analytics allows employers to understand what’s behind high utilization, engagement and cost trends at an individual and group level within their group population.

HEALTH INSURANCE CONSULTANTS

HCRM empowers healthcare consultants with analytics to navigate plan options and point solutions to provide tailored, cost-effective guidance for clients.

Accountable Care Organizations copy-grey

INSURANCE COMPANIES WITH FULLY INSURED PLANS

Healthcare analytics give insurance companies unparalleled insight into hidden patterns and population health trends and a data-driven view of how health benefits programs are impacting member health and costs.

STOP-LOSS CARRIERS AND CAPTIVES

HCRM predictive modeling helps stop-loss carriers and MGUs assess risk, predict high-cost patients, and optimize financial and clinical management. Captive insurance programs use HCRM predictive modeling to forecast pricing, track performance, manage risk, and reduce costs through population health management.

POPULATION HEALTH MANAGEMENT TEAMS

HCRM enhances Population Health Management with advanced analytics, predictive technology, and efficient data integration to optimize risk assessment, resource allocation, and clinical outcomes.

CLINICS AND HEALTHCARE PROVIDERS

HCRM integrates EMR and claims data to give healthcare providers a comprehensive view of patient care, enabling better risk management, proactive patient engagement and contract negotiations.

EMPLOYER CLINICS

HCRM provides employer workplace-based clinics with a complete patient profile, enabling data-driven, proactive healthcare interventions that improve financial sustainability, population health management, and risk stratification.

HEALTH PLANS

HCRM’s predictive analytics help health plans assess risks, anticipate trends, and implement proactive strategies to reduce costs and improve clinical outcomes.

THIRD PARTY ADMINISTRATORS

HCRM equips third-party administrators with analytics for cost containment, population health management, stop-loss negotiations, and customized benefit plans.

ACCOUNTABLE CARE ORGANIZATIONS

We offer comprehensive healthcare support with our cutting-edge care management services to assist accountable care organizations (ACOs) to manage contracted populations’ healthcare needs and services. HCRM can identify clinical risks and future costs of a population during contract negotiations to avoid or moderate financial penalties. The system can assist in the effort to provide cost and clinically effective and efficient care, assess provider outcomes, measure provider quality and integrate with patient EMRs. ACOs will be better able to manage and predict future cost of care to generate shared savings and improved clinical outcomes.

HEALTH MANAGEMENT VENDORS

HCRM helps healthcare vendors reduce plan costs by improving member health through data management, analytics, and clinical enhancements.