Is Care Navigation Healthcare’s Next ‘Gold Mine’? Quantum Health’s Move to Win Over Larger Employers – The Health Care Blog

Allan I. Fleming


Just one-to-watch as a possible health tech IPO this yr is treatment navigator Quantum Health and fitness, and I’m conversing to CEO Zane Burke about equally their breaking new products launch AND the essential differences among Quantum and the increasingly aggressive subject of other employer benefits advocacy-dependent companies like Accolade, Rightway, and Transcarent.

Non-public equity backed, two-many years outdated, and EBITA beneficial, Zane suggests Quantum Well being is delivering an ROI of “over two-and-a-half to one” to its consumer roster of 450 major big, self-insured businesses and conserving additional than 14% on all health care expenditures around time. The new item – Quantum Well being Obtain – is a streamlined, far more adaptable model of the soup-to-nuts Comprehensive Treatment featuring able of yielding these final results, and it’s currently being offered to give the greatest of businesses (individuals huge adequate to be doing work with many wellbeing plans, for case in point) a way to commence out with Quantum’s information-driven navigation tools without having a whole overhaul of their current added benefits scenario.

Zane explains Quantum’s “real-time intercept tool” and how it not only will help engage high-utilizers in an employer’s approach (aka these who invest additional than $10,000 in statements), but how 85% of the time it catches them on their care journey ahead of they’ve invested a thousand pounds – building an early prospect to deliver greater routing and, in the long run, lessen in general fees. The upside for Quantum? “Employers have very long believed of the carriers as this is their duty, but the carriers are seriously maximizing around their siloed program to pay a assert, do the condition management, get you off the phone and into someone else’s queue,” describes Zane. “Our design is, ‘hey…every single just one of those interactions is a gold mine.’”

We get additional into the particulars about the new Quantum Well being Accessibility item, and, much more importantly, what Zane sees as Quantum’s important level of differentiation versus Accolade, Rightway, Transcarent, and the relaxation. Tune in close to the 20-minute mark to listen to this bit and to discover out what Quantum’s undertaking with company information that helps make “everybody else that talks that game” glance like they are just playing “Pick Up Sticks.”

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