HEALTH PLANS

Personalized Member Experiences Across Every Touchpoint & Business Line

Deliver the most personalized, connected digital experiences, and get to know your members even before the first claim.

Maximize ROI, Amplify Member Engagement, and Stay Ahead of Regulatory Readiness in One Platform.

Leverage a comprehensive, data-driven platform that transforms complex healthcare challenges into strategic opportunities, enabling health plans to deliver exceptional value through intelligent, integrated solutions.

Real-time, multi-source data built on FHIR. Seamlessly integrate diverse healthcare data streams for comprehensive, interoperable member insights.

Proven compliance for CMS, TEFCA, MIPS, and beyond. Navigate complex regulatory landscapes with our robust, future-proof compliance framework.

100+ care gap programs and digitized HEDIS quality measures to improve outcomes. Leverage advanced analytics to identify, prioritize, and close critical care gaps effectively.

Engage Members Like Never Before Through a Proactive, Personal, and Scalable Solution

b.well empowers health plans to move from claims-based, reactive engagement to proactive, scalable, personalized member experiences. Whether you’re focused on compliance, quality improvement, or digital transformation, b.well has the modular solutions to meet your needs across all of your business lines today and tomorrow.

Member Portal+

Engage members before their first claim. Deliver a fully-branded digital front door that empowers members to self-serve, manage their health, and stay engaged across web, mobile, and omnichannel touchpoints.

  • Shift from reactive to proactive engagement
  • Build loyalty through personalization
  • Offer scheduling, records access, and care navigation in one place
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Whole-Person View

Unify medical, pharmacy, behavioral, and social data to deliver one holistic member profile.

  • Identify gaps in care early
  • Improve program targeting
  • Enable smarter outreach

Personalized Member Experiences

AI curates relevant programs, reminders, and next steps based on member data.

  • Improve medication adherence
  • Drive preventive screenings
  • Increase program enrollments

Deliver Dynamic, Clinically-Validated Outreach

Connect with members wherever they go and any time by offering mobile push, web, text/SMS, email, and conversational chat access.

  • Boost engagement across all populations
  • Reduce call center volume
  • Modernize your brand

Compliance

Compliance made scalable, sustainable, and future-proof. Stay ahead of regulatory deadlines with a FHIR-native, scalable infrastructure that meets CMS mandates, while powering long-term innovation.

  • Meet Patient Access, MIPS, TEFCA, and more
  • Reduce cost and risk of in-house builds
  • Be audit-ready, always
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FHIR Conversion + APIs

Automatically convert legacy formats to FHIR and expose APIs that meet CMS and ONC standards.

  • Ensure 21st Century Cures compliance
  • Minimize integration complexity
  • Power future innovation

Automated Data Exchange

Streamline connections with provider partners and HIEs for bidirectional, real-time data exchange.

  • Reduce prior auth and admin time
  • Improve data timeliness and accuracy
  • Cut interoperability costs

Quality Improvements

Turn insights into action to boost scores. Improve Star ratings and close HEDIS gaps using real-time insights, CQL-based logic, and member engagement tools that get results.

  • Improve performance measures at the member level
  • Drive early intervention and preventive care
  • Reduce care gaps with intelligent outreach
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Clinical Quality Engine

Use standardized Clinical Quality Language (CQL) to power digital quality measurement and care gap analysis.

  • Support CQL-based digital quality measurement (dQMs)
  • Reduce manual abstraction
  • Comply with CMS’s Merit-Based Incentive Payment System (MIPS) program

Member-Level Insights

Aggregate and surface actionable insights that link members to the right next step.

  • Improve chronic condition management
  • Personalize outreach
  • Reduce readmissions

Stars & HEDIS Automation

Track and optimize scores with real-time dashboards and predictive analytics.

  • Prioritize high-impact or rising-risk members
  • Focus on high-value interventions
  • Demonstrate ROI and outcomes

Get to know your members before their first claim, across every touchpoint through comprehensive insights.

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