QUARTERLY UPDATE
Q2-2024!

Dear Partners,

Our focus in 2024 has been on innovation, growth, and collaboration, and Q2 has reflected these priorities. At midyear, we are thrilled to share the remarkable progress, exciting developments from the past quarter, and a glimpse of what’s coming in the upcoming months.

PARTNER PROGRAM UPDATE

We are excited to share the continued maturity and growth of the Partner Program.
Over the past six months, we have made remarkable progress in supporting our partners.

Expansion of Partner Network

Simplify Healthcare announced a collaboration with Capgemini to drive innovation and transformation for Healthcare Payers. This collaboration will leverage Simplify Healthcare’s cutting-edge technology and Capgemini’s extensive expertise to enhance operational efficiency and improve member experiences.

Key objectives of the collaboration:

  • Deliver impactful solutions for Payers: Simplify Healthcare and Capgemini will jointly implement Simplify Healthcare’s innovative solutions — Simplify Health Cloud™ and Simplify App Fabric™.
  • Accelerate data-driven decision-making: Harness the power of data, advanced analytics, artificial intelligence, and GenAI to improve Payer efficiency, quality, and insights, enabling better decision-making and positive member outcomes.
  • Drive enterprise business transformation: Leverage Simplify Healthcare’s cutting-edge cloud platforms and Capgemini’s advisory and deep expertise in Payers to deliver outsized business outcomes and foster digital innovation.

Read the complete press release here →

New Traction Through Partner Conference

Our team attended the 2024 Cognizant Health Sciences Conference in Kissimmee, Florida, from June 10 to 13. We had an extraordinary time! As a sponsor, speaker, and exhibitor, we made the most of this opportunity to connect with the Payer industry leaders and showcase our innovations.

During the conference, our team delivered two compelling speaking sessions, delving into how connected benefits and provider journeys enable Payers to deliver product innovations, manage operational costs, and improve member and provider experience.

In addition to our speaking engagements, we were proud to sponsor a luncheon and the networking event held at Hard Rock Universal Orlando. These sponsorship opportunities facilitated vibrant discussions and invaluable networking connections for all attendees.

A huge shout out to the TriZetto Healthcare Products team for delivering an exceptional event experience!

Read the LinkedIn story here →

UPCOMING EVENTS

Elite Sponsor at QUsers Conference — Sept 9–11

Simplify Healthcare is honored to participate as an Elite sponsor at the QUsers Customer Group Conference, which will be held in Las Vegas, NV, from September 9 to 11 this fall.

Attendee at Oliver Wyman Summit — Sept 16–18

Simplify Healthcare is excited to be an attendee at Oliver Wyman Health Innovation Summit 2024 in Chicago, IL.

Connect 2024 — Oct 9–10

Connect 2024 is happening in Chicago on October 9-10! Leverage the power of Connect 2024’s entire audience, consisting of leading Healthcare Payers, to amplify your brand’s reach and exposure. Sponsorship options and the conference agenda are available on the website. Register now to secure your spot.

COMPANY UPDATES

AI-Focused Products and Features

Simplify App Fabric™ (SAF) is a low-code platform designed to accelerate enterprise solutions development. It streamlines process digitization and automation, enhances team experiences, and modernizes legacy systems with unparalleled efficiency. SAF is Purpose Built for Payers, with effective dating, versioning, and auditing features. It supports a wide range of outputs, powering information dissemination through content for portals, document generation, reports, and APIs for data sharing. SAF also facilitates member data sharing between different Payers, adhering to US interoperability standards.

To explore use cases and solve the next problem for Payers, please email us.

Channeling Studio

Channeling Studio, part of the Simplify App Fabric™, enables users to generate APIs automatically, create custom Robotic Process Automation (RPA) bots, and access over 80 pre-built connectors. It features intuitive visualization for data pipeline workflows, support for structured and unstructured data, and built-in security, monitoring, and notification controls. Every configuration and deployment in Channeling Studio automatically includes effective dating, version control, and auditing of both the build and transactional data transformations.

To learn more about Channeling Studio, please email us.

Service1 Logo

Service1™ is Simplify Healthcare’s Benefits Inquiry Experience platform. It harnesses the power of Synergistic AI to generate rich and clean benefits content providing a consistent omnichannel CX for benefit inquiries. This fosters trust, boosts self-service adoption, and improves customer satisfaction and contact center efficiency.

Service1™ is a versatile solution that seamlessly integrates into Payer’s digital ecosystem. With its collection of out-of-the-box content rules, learning models, and integration with Benefits1™, Salesforce®, Facets™, etc., it provides a quick start and easy adoption. Our Payer customers have seen as much as a 30% reduction in call handle time and a 50% reduction in onboarding time for Customer service advocates.

If you want to schedule a demo for Service1™, please email us.

*Salesforce® and Facets™ are registered trademarks of their respective owners.

New Acquisition

We’re thrilled to announce that Simplify Healthcare has acquired Virtical.ai, a pioneering AI company in the Payers space. This strategic move strengthens our commitment to empowering Payers with cutting-edge AI technology and reinforces our position at the forefront of the AI revolution.

By combining Simplify Healthcare’s industry-leading platform with Virtical.ai’s cutting-edge AI innovations in both Health Plan Sales Solutions and Network Management Solutions, we will empower Payers to achieve growth even as they face disruptive market and regulatory forces. Using both GenAI and Machine Learning (ML) algorithms on unstructured document content (such as SBCs, EOCs, etc.) as well as structured data (price transparency MRFs, Geo data, etc.), we will be able to deliver outstanding solutions to Payers as they grapple with harnessing the power of AI to serve their members.

To learn more, please reach out to your Strategic Partnership Team contact.

Read the complete press release here →

New Feature Launch!

Simplify Healthcare released credentialing features to enhance the Provider1™ solution. This game-changing capability will enable customers to perform in-house credentialing using our cutting-edge technology.

Provider1™.Credentialing is a superior software for Provider credentialing and highlights its robust features that streamline the entire process. The features include seamless integration with provider data management tools, AI-enabled primary source verification, a user-friendly interface, and real-time visibility into credentialing status. These features enhance efficiency and ensure compliance and accuracy throughout the credentialing lifecycle, making Provider1™.Credentialing an indispensable tool for healthcare organizations.

If you are interested in scheduling a demo for Provider1™.Credentialing, please email us.

Coming Soon!

CMS Procedure Code Set Updates

CMS publishes updates to Procedure, HCPCS, and Diagnosis codes every year. These updates itemize the codes that need to be added, changed, or deleted. Currently, the Payer’s clients manually review these code updates, associate changes with the right correct service codes, and then make the necessary updates to service code master lists. Powered by Generative AI, Simplify Healthcare is providing an AI feature in Benefits1™, where this process will be automated.

To learn more, please reach out to your Strategic Partnership Team contact.

New Leaders

Expansion of Our Leadership Team

Two senior sales leaders with more than 2 decades of healthcare sales experience have joined Simplify Healthcare

Matthew Leonard

VP, Sales

Matt brings over 20 years of experience working with both the Health Payers and with HealthTech and InsureTech SaaS solutions.  Dovetailing his experience (which includes many Blues plans, Medicare Advantage, and other competencies) with Simplify Healthcare’s innovative tools is a great match for the Payer market.

Connect on LinkedIn →

Kelly Blair

VP, New Payer Sales

Kelly brings an extensive and diverse experience developing and selling products into the Healthcare Payer space for over 20 years. She has held senior roles at UnitedHealthcare, Optum, and Surest.

Connect on LinkedIn →

Thought Leadership

Optimizing Healthcare: How AI is transforming Payer Operations →

How Health Plans Can Prepare for the No Surprises Act →

Fireside Chat with Namrata and Margaret →

2024 Medicare Advantage PBP Filing Season Recap →

Missed the Last Update?   

Thank you for your continued partnership and support.

Strategic Partnership team at Simplify Healthcare

Purvi Kadakia

Senior Manager,
Strategic Partnerships

Bhaumik Kothari

Vice President,
Strategic Partnerships