Carriers manage risk in a highly competitive space. BST helps carriers improve network design and align products to their client’s risk. Carriers can then create an environment where their products are strategic assets against the actual risk to the population.
BST’s capabilities enable carriers to establish a point-of-view through “what if” scenarios regarding vendor selection, stop loss, and supplemental product decisions—all tethered to the overall plan design.
Carriers have next to no insight into the pricing arrangements of the competition. The BST Panorama tool, a new cloud-based software service, provides on demand access to pricing information and analytical tools to easily incorporate the vast data sets.
Medical Carriers struggle to evaluate the true risk for an employee population. We use actual claims data as a second-look underwriting tool to either improve pricing or understand the risk not wanted unless priced properly.
Medical Carriers are looking to provide employers and consultants better access to their data and help optimize their medical plan. BST’s capabilities help to provide the risk analysis to create the right product bundles for an employee to select.
Carriers can provide partners with a robust data warehouse that captures more data than other platforms. Posting for a client’s benefit every 30 days, the capabilities include:
BST solves the problems that many Major & Regional Medical Carriers face with data discrepancies, member matching inconsistencies, outdated data validations, and slow processing times. BST’s technology allows for:
BST delivers actionable business intelligence through customized financial and clinical reports. These provide customized views through key metrics of performance and cost, allowing carriers to:
BST stratifies risk, evaluates at a granular level, and identifies a health plan’s high-cost drivers. This allows carriers to:
BST’s Plan Optimizer iterates billions of scenarios to arrive at an optimal plan design and prescribe specific actions, allowing carriers to: