Why Wait for Claims?

Wouldn’t it be nice to know your members prospectively?

Wouldn’t it be nice to know your members prospectively?

We provide the power to take unknown members
and make them known to the plan, make them known
to their community, and make them known to their
provider—all prospectively.

We provide the power to take unknown members and make them known to the plan, make them known to their community, and make them known to their provider—all prospectively.

The State of Medicare

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“Medicare Advantage is attractive to chronically ill patients due to the availability of additional benefits, lower cost sharing, and more coordinated care.”

“67 percent of Medicare beneficiaries have two or more chronic conditions.”

“CMS prioritizes consumer experience for an outsized role in determining MA Star rating.”

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57%
Experience
Metrics
$3.8 Billion
Plan Bonus Increases
$446
Profitability
3,834
Plans Offered
45%
Market Share
43
Beneficiary Access
105%
Growth

The Prospective Difference

Harmony’s rules-based interaction and assessment engine uses various data inputs to accelerate a member’s entry into a new health plan. This intelligent interaction is designed to create a personalized member experience that drives the ability to inform, influence, and inspire to create a truly connected journey.

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We provide the power to take unknown members and make them known to the plan, make them known to their community, and make them known to their provider—all prospectively.

Multiple
data
Sources
3

Harmonizer

interactive health risk assessment

TELEPHONIC or IN-HOME DELIVERY

provider integration

Member-specific itinerary

Plan-Coordinated itinerary

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Harmony maintains one of the largest networks of licensed medical examiners, all of whom have been screened and trained to deliver the very best in-home assessments. These examiners are from the community and as such they have a shared identity and familiarity with each member.

Largest network of mobile certified medical examiners

Virtually connected via IPAD with central scheduling

Background checked and trained for additional peace of mind