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!

Accelerate speed-to-market with a single
source of truth for MA plan configuration

A large health plan on the East Coast was struggling with Medicare Advantage (MA) plans
management. They were unable to integrate data from multiple sources into a single
integrated system to get a 360-degree view of information and drive efficient data and
processes. They were looking for ways to eliminate manual legacy processes, automate
MA product/plan configuration and document generation processes.

Reduce quotes to claims configuration
processing timelines by 50%

A leading health plan on the East Coast was challenged due to the disparate legacy systems,
complicated quotes to claims configuration, and time-consuming benefit plan management
processes. Find out how eBenefitSync™ automated their end-to-end benefit and claims data
setup processes, helped them achieve zero claims processing errors for its plans, and reduce
the quotes to claims configuration processing timelines by 50% to 10 calendar days.

Reduce benefit product build timelines
by 80%

A large health plan on the East Coast with 500M+ members and a very high growth rate was
challenged with manual, outdated, and error-prone benefit product configuration processes,
which affected their ability to streamline enrollment period activities and other benefit plan
management processes without any last-minute back and forth. eBenefitSync™ reduced their
benefit product build timelines by 80% to 3.5 calendar days.

Create a single source of truth for benefit
plans and improve speed-to-market by
70%

A consortium of large health plans was challenged by benefit plan data proliferation across
their IT ecosystem. Their end-to-end benefit plan lifecycle was error-prone with disconnected
manual processes involving a series of bandaid solutions. eBenefitSync™ improved its
speed-to-market by 70% and reduced data redundancy by 90%.

Automate onboarding and renewals and
improve customer service quality by 70%

A large TPA was struggling with a tedious manual process that involved capturing benefit
plan and new group onboarding data across 20+ disjoint documents with 250+ pages each.
eBenefitSync™ improved its speed-to-market and customer service quality by 70%.

Integrate with Core-Admin systems and
improve data reusability by 98%

A mid-size health plan was struggling with key pain points – significant data redundancy
which affected testing and troubleshooting; integration with Salesforce, and; manual and
error-prone processes for SBCs, QHPs, and other document generation. eBenefitSync™
improved its speed-to-market by 50% and improved data reusability by 98% across 23K+
products.