Wellnecity's Smart Hub transforms your self-funded health plan into a high-performing asset by effortlessly integrating key vendors and various point solutions, ensuring transparency and accountability.
Wellnecity’s Smart Hub integrates member-level transactions, linking all benefit vendors – exactly as they are. We take claim feeds from your Administrator and PBM as well as an eligibility feed from your BenAdmin system or HRIS system. In addition, we establish two-way performance management feeds from the point solution vendors - integrated into our Smart Hub for active management.
You simply need to inform and authorize your vendors to provide the claims detail and Wellnecity does the rest.
Smart Hub standardizes the data, measures performance, and identifies issues and opportunities. In addition, client teams will provide prioritized lists of recommendations to improve health plan performance and act as an extension of your team when needed. Benefits include ROI improvement, vendor coordination, targeted member outreach (40-50% utilization increase), Rx financial controls, timely vendor engagement, and reduced CAA compliance risk.
Vendor examples include:
- Care navigation, High-risk member outreach
- On-site clinics
- Direct contract networks
- CoE
- Rx clinical programs
- Poly-chronic management
- Mental health
- Dental & Vision
- Wellness company biometrics
- Workers’ compensation
- Occupational health
Claimed
