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Transforming Payer Operations with Simplify Healthcare

Simplifying Products, Benefits, & Provider Lifecycle Management to Drive Impactful Results

Overview

A Strategic Partnership for Transforming Healthcare Administration

Innova Solutions is proud to partner with Simplify Healthcare to tackle the critical challenges facing payers and third-party administrators (TPAs). Together, we bring deep expertise and cutting-edge technologies to address rising costs, complex stakeholder experiences, and evolving regulatory demands.

By combining Innova’s advanced consulting and innovation capabilities with Simplify Healthcare’s transformative solutions, we empower payers to streamline operations, optimize costs, enhance experiences, and ensure seamless compliance.

Our Expertise

Medicare Advantage, Membership Growth Strategy, & Consulting

Target high-potential regions for expansion and leverage the Benefits1 platform to manage Medicare benefit plans, develop data-driven prospecting, personalize marketing strategies, and strengthen provider networks.

End-to-End Provider Lifecycle Management (PLM)

Streamline provider management with the Provider1 platform—an end-to-end solution for recruitment, contracting, and ongoing support.

Claims Operations Transformation

Streamline claims management with the Claims1 platform—an end-to-end solution that directly connects with business inputs to transform into a consumable format for the Core-Admin platform.

Customer Experience & Contact Center Transformation

Improve your Net Promoter Score (NPS) and Customer Satisfaction Score (CSAT) by transforming key customer-facing processes and personalizing interactions throughout the payer value chain with Experience1 and Service1.

Intelligent Automation

Harness the power of Simplify App Fabric to quickly identify and automate key processes with advanced cognitive and robotic capabilities.

Benefits

55%

Faster provider onboarding

75%

Decline in product configuration time

~70%

Cost reduction due to improved data quality

70%

Decrease in average call time

11 Point

Improvement in NPS via provider & member experiences

**The numbers provided are based on specific client engagements and should not be interpreted as a guarantee of similar results for other clients.

The Innova Edge

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