What is Sapphire 360?
By leveraging data and analytics, Sapphire 360 supports the ability of health plans to negotiate competitive rates, develop tiered benefit plans, and reduce medical spend.
Sapphire Digital 360 utilizes machine-learning technology to develop deep data solutions designed to support health plans and their members.
Predictive modeling for:
Anticipating shopping events
Developing shopping clinical pathways
Outreach to members to encourage shopping along the clinical pathway
Identifying targeted providers using quality and cost data to support the care journey
Adding new clinical pathways by condition
Sapphire Digital 360 allows health plans to:
Negotiate competitive rates and make better contracting decisions
Select best-value, best-outcome providers
Steer members to best-value providers
Predict future care pathways based on claims data
Early intervention in the care journey to influence future pathways