Drive improved outcomes, stakeholder satisfaction and organizational ROI

To make informed decisions across multiple functions, payer organizations need access to the best evidence and insights. UpToDate® Enterprise Suite and Medi-Span® provide evidence-based solutions that can help payers grow their impact and better support members and customers.

UpToDate Enterprise Suite is a globally trusted suite of solutions that can drive improved outcomes, member satisfaction, and organizational return on investment (ROI). By leveraging evidence from leading experts, payer organizations can make informed decisions, streamline operations, and improve overall performance.

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UpToDate helps your organization with the following

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Medical management

  • Set policy and design benefits with defensible, evidence-based decision support at scale.
  • Unify your teams with content that is continually updated to drive alignment and reduce payer, provider, and member friction.
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Care management

  • Reach more members with our AI-driven, innovative technology solutions.
  • Build member trust by encouraging healthy behaviors that align with clinical plans of care.
  • Confidently take a consumer-first approach by meeting members where, when, and how they want to be engaged.
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Drug decisioning and management

  • Leverage seamless workflow integration with a mix of referential content and machine-to-machine readable content to achieve fast, effective decision-making grounded in evidence.
  • Benefit from the depth and breadth of our referential drug data to support formulary development, claims adjudication, utilization management, and more.

Empowering payer teams

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Building proactive strategies and stakeholder alignment

The unrelenting pace of change in healthcare has challenged the entire industry to adapt to new priorities and best practices. As payers navigate these complexities and position themselves for the future, a foundation of aligned data and evidence-based strategies can be essential for tackling current challenges, such as:

  • Managing operational inefficiencies caused by siloed teams.
  • Balancing cost, compliance, and quality care.
  • Addressing increasingly complex or sophisticated therapies and medications.

Learn more in our new eBook, “Navigating complexity with certainty.”

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Aligning data strategies to enhance member experience and improve efficiency

Modern payers need to examine their drug and clinical data strategies and look for opportunities to remove data silos and prioritize innovation while keeping the member’s needs at the center. Leveraging powerful and scalable tools like UpToDate and Medi-Span can help organizations adapt their data strategies to:

  • Break down walls between medical and drug benefit teams
  • Better align with provider organizations
  • Improve overall member satisfaction and operational efficiency

Learn more in our eBook, "Aligning payer and provider data strategies for enhanced member experiences."

Download The eBook
Download The eBook

Evidence-based content that aligns across the healthcare ecosystem

Healthcare payers make decisions every day to help members access the right care in the right place. To be efficient, effective, and able to scale these decisions across an increasingly complex landscape, payers need trusted, evidence-based content that can adapt to their workflows. UpToDate® suite of solutions and Medi-Span are trusted across the healthcare continuum and can support the efforts of payer teams.

  • Consistent content enables clinical decision making in-workflow with the same evidence-based information clinicians trust.
  • Ensure benefit designs, claims management, and other decision makers have current, accurate disease and drug information.
  • Provide your team with anytime, anywhere access to world-class medical information.
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Three ways clinical decision support can benefit payers
Evidence-based clinical information across teams can help payers improve business processes, save costs, and improve their members’ experience and outcomes.
Read The Article
Aligning health policies with clinical evidence to support preventative care
As preventative care recommendations like hepatitis B screenings are updated, health plans need tools to help them design policies that are current, support members, and reduce provider friction.
Read The Article
Bridging the value gap by aligning medical and drug benefits
As drug production rapidly becomes more complex, medical and drug benefit teams within payer organizations need to get aligned with the latest evidence.
Read The Article
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Aligning data resources is top priority for payer leadership when addressing business challenges. Get the ebook, Aligning Payer and Provider data strategies for enhanced member experiences, to learn more.
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