We Serve Commercial Plans
Much like the need to react to regulatory pressures and changes, commercial plans must be ready to react to market pressures and changes in today’s ever-evolving healthcare landscape. Rising costs, regulatory demands, and the push for value-based care require innovative solutions to manage complexity while delivering value to members and stakeholders.
With our comprehensive suite of solutions, we empower commercial payers to achieve operational excellence, improve member satisfaction, and drive cost savings.
Commercial payer solutions
Tackle the challenges of group and individual and family plans with Convey’s expertise and understanding with integrated security and compliance.
We deliver multiple solutions for commercial payers, helping you to:
Achieve operational efficiency.
Improve member satisfaction and retention.
Drive sustainable financial performance.
Agent compliance, onboarding, and compensation calculations
Streamline your agent and broker operations with our Miramar:Agent platform. From onboarding, to oversight and commissions calculations, our solution automates workflows, ensuring your agents are compliant, well-trained, and ready to sell. Enhance visibility and efficiency in your management processes, reducing administrative burdens and improving performance.
Member enrollment, billing, and reconciliation
Optimize your member enrollment and premium billing processes with our technology and BPO services. Our integrated solutions ensure seamless member experiences, from multi-channel enrollment intake to real-time premium reconciliation, reducing your administrative burdens and improving accuracy.
Flex cards for value-added, ancillary benefits
Offer your members the convenience and flexibility of our comprehensive flex card programs. These cards can be used for a wide range of extra benefits, including dental and vision coverage, telehealth services, employee assistance programs, financial wellness tools, and behavioral health programs. Align these benefits with chronic condition, care management, and wellness programs to promote healthier lifestyles and improve member satisfaction.
Reward programs for plan members that participate in healthy activities
Drive member engagement and retention with our wellness incentive programs. Reward members for participating in health initiatives and encourage ongoing involvement. Our solutions provide the tools you need to track behavioral changes and support population health management effectively.
Targeted health and wellness product fulfillment
Enhance chronic care management with innovative health and wellness solutions. For over 65 years, HealthSmart® has been synonymous with high-quality, affordable products that support healthier, more independent living. Essential tools, like blood pressure monitors for hypertension management, are designed and to improve health outcomes and quality of life.
Together, we can drive growth, enhance your operational capabilities, and deliver exceptional value to your members.
Our solutions support Medicare and Exchange markets, too.
Many organizations operating in the commercial payer space also have a presence in government-sponsored programs like Medicare Advantage, Medicaid, and the Marketplace. With our extensive expertise across these lines of business, we offer tailored solutions that address the unique challenges and opportunities in these markets. Explore how our government-sponsored solutions can complement your commercial strategies and drive greater success for your organization.
