Health Plans

We enable Health Plans to power data-driven initiatives that positively impact revenues, costs, service levels and health status.

We understand that Health Plans face many challenges:

  • Numerous data formats
  • Multiple communication methods
  • Payer-provider friction
  • Unpredictable costs
  • Disparate data sources

PNT’s modular managed services were designed with the specific needs of each individual Health Plan in mind. Our modular managed services can be tailored to meet the unique needs of any Health Plan, large or small. We deliver data bi-directionally, in any format, regardless of communication method and allow all our customers real time visibility into data volume, quality and content via our customer portal. Finally, our unique hands-on provider engagement approach is proven to reduce payer-provider friction and ensures increased volume of high quality, targeted data.

Our services impact a variety of healthcare data-driven initiatives including

  • HEDIS scores
  • Star Ratings
  • Risk Adjustment Factors
  • Gaps in care programs