Improve provider relationships and member access
Strengthen provider partnerships, ensure directory accuracy, and simplify access for members—all while supporting regulatory compliance and quality outcomes.
Insights that strengthen networks
See the full provider and network picture
Bring all your provider and network data together, from directory accuracy checks and available audits to provider satisfaction surveys and post-visit feedback. Unify insights across channels with HX Exchange and advanced dashboards, and gain a complete view of access, adequacy, and provider relationships.
Turn data into smarter decisions
Our advanced analytics and regulatory expertise transform fragmented provider data into clean, actionable strategies. Use predictive insights and automated verification to highlight compliance risks, surface satisfaction trends, and pinpoint access barriers. Allowing you to know exactly how to reduce member friction, meet CMS requirements, and strengthen partnerships.
Partnering to build stronger networks
With decades of healthcare experience, our experts work side by side with you to design strategies that improve provider collaborations and ensure equitable member access. From readiness audits to network optimization, we help you align provider performance with regulatory standards and member needs, driving better outcomes across your system.
Smarter networks. Stronger outcomes.
A health plan suite, built on insights and action
Member Journey
Capture member feedback in the moments that matter, and get real-time insights into how to fix pain points, deliver seamless, personalized experiences, and close the loop quickly.
Net promoter score
Get a reliable view of member loyalty to measure, analyze, and improve loyalty and experience in one program.
Medicare CAHPS
Ensure regulatory compliance—from sample validation to survey administration and reporting—while unlocking insights that directly impact member experience.
Health Outcomes Survey
Capture Medicare Advantage members’ reports of their physical and mental health over time.
Stars Monitor
Understand the complexity of Stars math and the results of CMS changes.
Predictive analytics
See beyond survey results and model satisfaction, disenrollment risk, and key CAHPS measures at the member level.
Provider verification
Take the pressure off your team with a proven, audit-ready process that ensures accuracy, supports accreditation, and improves provider directory data at scale.
Behavioral Health (OPMH)
Get actionable insights into outpatient mental health and substance-use services, including telehealth—so you can close gaps, strengthen access, and drive meaningful outcomes.
Case management
Capture direct member feedback and get insights into communication, helpfulness, access, and health outcomes.
One AI-powered Human Experience platform
With our flexible HX platform, you can scale and grow as needed. Built on powerful AI, it helps you automate workflows, predict member behaviors, and know how to act. So you’re ready for new expectations, new regulations, and whatever comes next.
Stronger networks. Better care.
