Visual, Sharable Benefits Analytics

Cedar Gate Healthcare Benefits Analytics is an employee benefits analytics and reporting application for self-funded employers, their payers, and their broker/consultant advisory partners seeking to meet the plan sponsor’s clinical and financial performance goals. It enables benefits managers to tailor plan parameters and model performance based on the characteristics of the member population. Visual dashboards distill the data into prescribed actions, preventing clients from getting lost in the analysis. Focused reports track the efficacy and impact of care management activities and point solutions by monitoring performance indicators in member cohorts. Unlike the competition, the Healthcare Benefits Analytics tool is built for self-service plan design and reporting, reducing or eliminating the need for additional consultants or vendors. It pulls data from a common data lake that is shared by Cedar Gate’s Care Management application, ensuring the accurate translation of data to insights, and insights to action. The application is cloud-based and built on a next-generation NoSQL database for rapid interpretation of unstructured data. It enriches member data to identify savings recommendations and generates visual dashboards that communicate insights and key points to all stakeholders.

COST, QUALITY, TRENDS, & COMPARISONS

Monitor performance indicators and correct undesirable trends.

Cohort Identification

Conduct population risk stratification to identify specific cohorts that need to be monitored and reported on.

PRE - CONFIGURED DASHBOARDS & REPORTS

Render stunning visuals with over 100 out-of-the-box clinical and financial reports and dashboards that communicate key facts to an array of stakeholders.

MEMBER, PLAN & BENEFITS BENCHMARKING

Member Data Enrichment

Augment member data with over 5,000 types of data enrichment.

DIY DASHBOARD & REPORT CREATION

Create custom reports and visualizations on the fly with an easy-to-use tool designed for the non-technical user.

PLAN & BENEFITS MODELING

Test changes to plan elements based on the member population profile to generate recommendations that will have the greatest clinical and financial impact.

Compare real-time performance against Cedar Gate’s proprietary commercial benchmark dataset of over 11 million members — by region, state, MSA and industry type.

Claims Adjudication

What makes us different? Well...you do.

Cervey’s Adjudicator is a next-gen plan management and claims adjudication platform designed for you, with you. We offer a solution as unique as the needs of your clients, empowering you to provide nimble support in an ever-changing industry.

We listen. You leverage.

From customized pricing based on NADAC, AWP, WAC, MAC, ACQ to rulesdriven engines, Cervey’s Adjudicator provides the innovative flexibility you’ve been waiting for. We’re not just software. We are your partner in building a solution to help you maximize your strategy.

Claims adjudication doesn’t come in one size fits all... and neither should your software.

• Infinite Flexibility: Never out of the box. Our team of in-house developers offer endless benefit configurations designed to meet your unique needs.

• Comprehensive Expertise: With two decades of experience in claims adjudication, 340B, specialty and patient assistance, let Cervey’s seasoned team tailor your total solution.

• Unmatched Service: When you need support, you need an expert. You call we answer. No outsourcing. No robots. It’s as simple as that.

• No Competing Interests: Cervey is a privately held company, independent from any PBM ownership. Your success is our success. No question.

• Industry Readiness: Cervey’s flexible model allows us to quickly adapt to any future industry changes and requirements, including NCPDP F6 and beyond.

• Interoperability: Our extensive API framework simplifies the data integration with your internal processes and external business partners.