Payers & Health Plans
Enabling Better Member Experiences
At Untangle Health™, we understand your need to meet current market and member demands while future-proofing your operations, ensuring positive member experiences and seamless collaboration among healthcare professionals. Our expertise allows us to evaluate your technical operations and untangle the complex systems that make or break financial success.
Payers and health plans rely on Untangle Health™ for advisory services to optimize their Healthcare Data Value Chain™ and align systems and processes with member and business needs. We lead with experience and best practices, mixing in innovation and new technologies that keep you one step ahead in the ever-evolving healthcare ecosystem.
Core Capabilities
Untangle Health™ starts by comparing your capabilities to market and business needs. We understand core systems and are able to make recommendations to ensure the capabilities align with market and member needs.
Interoperability Roadmaps
Untangle Health™ excels in crafting healthcare data strategies that fulfill organizational and financial objectives. We identify unmet needs and market opportunities and translate them into actionable strategies and solutions for today, and product and interoperability roadmaps for tomorrow.
Navigate the Market With Confidence
We act as an extension of your leadership team, unblocking leaders with data driven insights that accelerate decision making. Our unmatched industry and technical expertise enables your team to move quickly and confidently.
What we offer
Data Modernization Strategy
We help refine and align your data strategy to meet the compliance and operational needs of today and to remain differentiated tomorrow.
Tech Stack Optimization
We identify inefficiencies and bring tailored solutions for modernization and interoperability that build on your business goals and provide value to clients.
Vendor & Partner (Re)Evaluation
We (re)evaluate third-party vendors to ensure your organizational security, privacy, compliance, and quality standards are being met in the way you expect.
Growth & Expansion
We drive organic and inorganic growth through product and market share acquisition, high value use case expansion, and partner/channel development.
Payer Engagement Approach
Payer Current State
Understand core capabilities, interoperability road map, & client delivery strategy, and how they map within your organization.- Evaluate Data Formats
- Vendor Gap Analysis
- Build vs Buy Capability Map
- Priority Use Cases
- Delivery and Support Methodology
Payer Future State
Strategy to align for market needs today & tomorrow.- Recommend Standardized Data Formats
- Healthcare Data Value Chain™ Vendor Placement
- Roadmap
- Operationalize Use Cases and Workflows
- Scaling Blueprint
Continue & Expand
Establish governance, targets and tools.- Implementation Plan, Project Management, and Execution Support
- Operational Readiness Framework
- Build v. Partner v. Buy Due Diligence
- Program and Project Execution Schedule
- Change Management (Training Materials & Communication Plan)
- Inorganic Growth Landscape Assessment and Buy v. Partner Recommendations (Ongoing Market Mapping)
Our Growing Footprint
Companies
Payers
Organizations
Market Cap
Read Our 2024 Digital Healthcare Market Industry Insight
Healthcare is hard, but Untangle Health™ is here to help.
Our customers and partners wake up every morning eager to untangle the next mess that the market throws their way and this report offers great insight into what we’re seeing now vs what the future should be.
We’re not just strategists and technologists; we’re also members and humans who want a better healthcare system for everyone.