Simplify Health Cloud™

Power your connected product, benefits, and provider data journey
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Simplify Health Cloud™ wins the New Product of the Year award at the 2023 BIG Business Awards

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Simplify Health Cloud™ is

Deliver product innovations, manage operational costs, and improve stakeholder experience

Scalable

Performance engineered to scale vertically and horizontally – Simplify Health Cloud™ gives payers on-demand scaling for their peak periods

Enterprise Grade

Simplify Health Cloud™ easily integrates into your existing IT infrastructure investments to power connected benefits and provider journeys based on clean, rich, and understandable data

Secured

Single sign-on access using standards-based authentication protocols, including OpenID Connect, OAuth 2.0, and Security Assertion Markup Language (SAML)

Truly Configurable – Future Proof

Product, Benefits, and Provider data structure and rules will continue to evolve – Payers need a platform that can evolve with their evolving needs without breaking the bank. Payers can now configure – add/remove/update attributes, business rules, and workflows – with core configuration services

Compliant

Peace of mind for CMS updates for MA, ACA filings, Mandated Materials, 508 compliance

Maximize Your Existing Investments

Simplify Health Cloud™ powers the connected product, benefits, and provider data journeys for 50+ Health Plans
Accelerate and scale your products and benefits
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Explore Benefits1™ »
Next Generation Provider Lifecycle Management
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Explore Provider1™ »
AI Powered Intelligent Benefits Inquiry Experience
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Explore Service1™ »
Power quote to claims journey; Automate provider and contract data config
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Explore Claims1™ »
Deliver a dynamic data-driven digital experience
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Explore Experience1™ »
Build rapidly. Lead with AI. Integrate Seamlessly.
Simplify App Fabric™ »

What Our Customers Say

Associate VP

Strategy & Program Management

From a strategy standpoint, we’ve seen explosive growth in recent years. By using AI and automation with Simplify Health Cloud™, we can better understand our data to deliver hyper-personalized, connected, and real-time member and provider experiences
Director

Digital Solutions (IT)

Being a customer-first company means creating experiences that consistently earn our customer’s trust. Simplify Health Cloud™ provides the single source of truth we need to deliver connected benefits and provider journey
Director

Product Management

Thanks to Simplify Health Cloud™, we are connected with our stakeholders at every step of their care management journey via their preferred channels, including web and mobile

Frequently Asked Questions (FAQs)

Here is what our customers usually ask us

What is Simplify Health Cloud™?

Simplify Health Cloud™ powers connected benefits and provider journeys on a foundation of clean and rich product, benefits, and provider data across the Payer ecosystem. Simplify Health Cloud™ is a scalable, enterprise-grade, secure, configurable, and compliant platform aimed at maximizing existing investments in Core-Admin systems. Packaged on the Simplify Health Cloud™ — Benefits1™, Provider1™, Service1™, Claims1™, and Experience1™ provide Payers with discrete and precise solutions to complex problems and opportunities in delivering a rich set of product, benefits, and provider data

What makes Simplify Health Cloud™ different from other solutions in the marketplace?

Payers have invested significantly in front-end selling tools, claims adjudication systems, CRM solutions, and customer experience (digital front door) platforms.  Yet, there are multiple hand-offs and “white spaces” where benefits and provider data are concerned.  This results in a persistence of unmanaged spreadsheets, lack of workflow, and redundant manual data entry – resulting in less than optimal returns of investment

The key to maximizing ROI from these investments is clean, rich, and understandable benefits and provider data and their journeys throughout the enterprise. Simplify Health Cloud™ helps Payer leverage existing investments to boost outcomes and simplify products, benefits, and provider lifecycle management by powering connected benefits and provider journeys

What are the benefits of deploying Simplify Health Cloud™?

The Simplify Health Cloud™ platform enables enterprise-grade scalability, flexibility, and security to payers as they look to deploy integrated solutions across benefits and providers. With an architecture that is built on components and configuration services, the Simplify Health Cloud enables composable solutions that can respond to changing end-user needs. The solution sets — Benefits1™, Provider1™, Service1™, Claims1™, and Experience1™, span payer processes from developing products & benefits to managing provider networks to handling benefit inquiries to claims configuration and testing to generating real-time benefit content across all member and provider communication channels. Both IT & Business organizations benefit from the power and flexibility of the Simplify Health Cloud as they endeavor to respond to the ever-changing market and compliance requirements

What business size is ideal for adopting Simplify Health Cloud™?

Simplify Health Cloud™ is a cloud-based software that scales easily to accommodate every business size, from small to large Payers. The benefits and advantages of Simplify Health Cloud™ apply equally to all businesses regardless of size