Leverage automation to improve speed-to-market and compliance for Medicare Advantage plans for 2023

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Thursday, December 2
1:00 – 1:30pm ET

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7th Annual Medicare Star Ratings and Quality Assurance Summit

December 7 – 9, 2021


Simplify Healthcare ranks 239 among the fastest-growing companies on the 2021 Deloitte Technology Fast 500™


Webinar - Auto-generate accurate QHP PBTs, SBCs, and SOBs, and accelerate state filings for 2023

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Thursday, December 9
1:00 – 1:30pm ET

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Welcome to Simplify Healthcare

We are one of the fastest-growing healthcare technology solutions providers offering end-to-end solutions to address the pain points for healthcare payers and third-party administrators (TPAs)/administrative services organizations (ASOs). We are the leading player in the benefit plan management vertical with deep expertise for Large/Small Groups, and Individuals across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs). Health Plans: Health plans can digitally transform benefit plan management; client onboarding; member and provider inquiry; provider data, contract, and directory management; and value-based payment reconciliation with a single platform. TPAs/ASOs: We help TPAs/ASOs optimize operational efficiency and improve outcomes with end-to-end solutions in areas including benefit plan management; client onboarding and enrollment; member and provider inquiry management; provider data and directory management; member, provider, and group contracts management; and value-based payment reimbursement.

Deep subject-matter expertise, technology, and innovation are hard-wired into our DNA

Harness the power of the cloud to cut through the complexity of benefit plan management for Large group, Small group, Individual plans, ASOs/TPAs, Medicare Advantage, and Medicaid Managed Care, and Medicaid Fee-For-Service plan management with intelligent solutions and a single source of truth. Explore our wide range of modular solutions enabling payers and TPAs to improve operational excellence.
Simplify Healthcare - Health Plan Solutions Company

Our Success Story


Health Plans

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YoY Growth

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US MA PBP Filings

Our Client Success Metrics

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Improved data reusability

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Reduction in benefit product build timelines

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Reduction in quotes to claims configuration timelines

Industry Recognition

Inc 5000 - Midwest Logo -2
Microsoft partner Health Plan IT solutions company
Simplify Healthcare is ISAE certified

Our Solutions

Leveraging end-to-end technology-driven and forward-thinking solutions to help health plans automate processes. Scale operations to unlock business value with our various automated solutions.

Benefit Plan Management

Member and Provider Benefit Inquiry Management

Provider Data & Contract Lifecycle Management

Other Solutions

Ready to Get Started?

Let’s talk about your path to success! Get in touch with our experts to see how Simplify Healthcare can help you automate various administrative processes and improve operational efficiency.
Let's get in touch

Our solutions deliver measurable benefits for Large/Small Groups, and Individual benefit plan management across all lines of business.

Our solutions improve speed-to-market, accuracy, and cost-effectiveness of benefit plan design.

Increase data accuracy and consistency up to


Increase speed-to-market up to


Increase data reusability up to


Decrease claim recoveries up to


Decrease maintenance timeframes up to


eBenefitSync™ is named as the 'Sole Leader' in IDC's MarketScape.

2016 Vendor Assessment of the U.S. Health Plan Product/Plan Benefit Configuration Solutions.
IDC MarketScape Chart

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What our customers say

''The platform makes it easy to manage the specific benefit requirements of QHPs. With its out-of-the-box functionality and document generation capability, our team was able to generate SBCs + SOBs on time without any last-minute hassle. The solution serves as a single source of truth for making the benefit build processes more simple, efficient, and error-free.''
Director, Product Development
''We had several challenges, including management of benefit plans in Excel/Word documents, version control, critical information stored manually, and rolling out new products & maintaining compliance. With eBenefitSync™, we eliminated all those challenges. We can now roll out products for Individual and Small Groups, Large Groups/ASO faster, and eliminate the manual efforts of managing benefit plans.''
Large Health Plan Benefit Administration Leader
''eContractSync™ is the only end-to-end solution that can help solve the Provider and customer contracting challenges. With its unique capabilities and functional offerings, our team was able to generate new contracts efficiently without any errors. It not only simplified the end-to-end contract lifecycle management process but also increased our operational efficiency by around 75%.''
Director, Contract Management
''eMedicaidSync™ is the logical extension of Simplify Healthcare’s platform that has effectively managed commercial and Medicare Advantage benefit products. The platform helps us speed-up our Medicaid plan management processes while eliminating data errors and their costs.''
Product Director, Payer Client
''eMedicareSync™ helped us reduce 75% of the time and efforts required to build Medicare/Medicare Advantage products and auto-generated documents in time and quality. This was our first CMS submission where there was no chaos due to last-minute changes.''
Director, Marketing Communications
''eProviderSync™ is the only end-to-end solution that can help solve the Provider data and contracting challenge in the industry at the root cause. It creates a robust, configurable single source of truth and has an intelligent algorithm to keep the data updated.''
Health Plan Executive, Network Management
''The value-based reconciliation system was not only functionally robust from an online perspective, but also reduced batch processing windows from 18-24 hours to 4-6 hours. The amount of information that an end-user could view ‘at-a-glance’ greatly enhanced productivity, and streamlined operational activities. The system was able to adapt to the evolving needs of the customer efficiently.''
VBR Program Manager

Case Studies

Leading health plans rely on Simplify Healthcare to work smarter, faster, and optimize operational efficiency. Read about our success stories and learn how we have enabled higher client satisfaction!

Podcast – Helping health plans with administrative automation

Discover how Simplify Healthcare helps health plans automate administrative operations and manage their benefit plan packages efficiently in this podcast. Get rid of those spreadsheets and go down the path of automation with Mohammed Vaid.

Hosted by: David E. Willams – President, Health Business Group

Listen to the Podcast

Health Plan Management Solution - Blog

Explore insights on how health plans can enhance their operations and gain a competitive edge with innovative technology.
Managing the ACA in Plan year 2021/2022 with eACASync™
Read more
The Provider Directory and Data Management Problem and Its Impact on Health Plans
Read more
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A Single Source of Truth for Medicare plan management: Why It Matters
Read more

Latest News

Want to know more about us? Stay in the know with latest updates, news, and events!
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