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Predictive analytics and modeling to support medical management and network strategies

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

Features

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

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See how Sapphire Digital’s omnichannel platform strengthens networks, reduces costs and engages employees.

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