problem

Comparing health plans is confusing and high stakes

During open enrollment, members often lack the necessary information to make informed decisions about their health plan options. This can lead to suboptimal choices, unexpected out-of-pocket costs, and dissatisfaction with their coverage.

solution

Get comprehensive claims data for accurate plan recommendations

Flexpa provides decision support tools with instant access to members' complete claims history, including medical codes, medications, and past utilization. This enables highly personalized plan recommendations, helping members choose the most suitable coverage for their needs.

Flexpa for informed plan selection enables you to:

Analyze historical claims data to provide accurate cost predictions and plan comparisons.
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Offer personalized recommendations based on past healthcare utilization and specific health needs.
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Enable members to make data-driven decisions during open enrollment, improving overall satisfaction.
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Demonstrate potential cost savings and benefits utilization to drive engagement with decision support tools.

Why Day 0 Matters for Member Experience

Seamless Onboarding:

Start personalizing member experience immediately with complete health history

Accelerated Risk Adjustment:

Start chart chase activities immediately, ensuring complete HCC coding from day one, eliminate redunant records requests

Operational Excellence:

Streamline care coordination and member support processes - show members you're prepared to support their health journey from day one

Empower members to make informed health plan decisions

Provide personalized plan recommendations based on comprehensive claims history and utilization data.