Claire for Payors
Payors are continually trying to balance competing priorities:
- Members rely on payors for access to clinical care and condition management, while expecting an exceptional member experience
- The business demands vigilance on cost-containment, expense management, risk mitigation, and management of quality measures
Empower members with the information they need to select in-network diagnostic providers that minimize costs.
Promote fulfillment of the high-volume preventive screening tests that may help payors earn higher Medicare Advantage Part C&D Star Ratings.
Better data, better outcomes
Diagnostic testing is a critical fulcrum in this balancing act, providing insights and intelligence that enable payors to optimize preventive care, while potentially minimizing costs:
- Diagnostic testing facilitates early detection, driving timely interventions that can pre-empt disease condition evolution and expensive treatments
- Testing helps identify the most effective treatment options, enabling targeted and personalized interventions that avoid wasteful trial-and-error approaches
- Testing may help avoid unnecessary procedures, surgeries, or treatments by providing more accurate information about patient conditions
Diagnostics-as-a-service (DxaaS) empowers members to choose in-network providers that help maximize preventive screening reimbursements
Control operating costs with more efficiency and insight
Potentially earn higher Medicare Advantage Part C and Part D Star Ratings by promoting higher preventive screening fulfillment rates and delivering a positive member experience
Enable providers with more of the data they need to keep members healthier
Experience turnkey testing
Claire provides a Full Engagement, turnkey testing solution that can help to maximize test completion , as well as aid in patient satisfaction with getting the needed tests from their health plan.
Each patient encounter is designed to maximize fulfillment:
- Patient’s preferred communication channels established
- Patient schedules appointment and chooses collection pathway and logistics
- Patient Service Center specimen collection
- At-home specimen collection
- Self-collection when available
- Conversational AI educates patient about the test and the testing process
- Test results translated into clear plain language that patients can understand
- Custom-trained AI answers routine medical questions and provides patient prompts for next steps based on test results making it easier to facilitate patient communications with healthcare professionals
Contact us to learn more about Claire solutions for payors
The home of stress-free testing