Payer Solutions

Healthcare reform is forcing payers to meet new standards of performance. To reach these performance goals, payers have access to many sources of internal and external data. But data alone does not translate to actionable insights that identify cost drivers and opportunities for improvement.

IMS Health is helping payers integrate, manage and analyze a broad array of information to create an actionable view of plan performance. We offer the largest independent source of health plan claims and prescription data and deep expertise in healthcare informatics to deliver the insights necessary to transform your business.

We also offer engagement solutions to share this data with members, providers and stakeholders within your business:

Member Engagement: giving members accurate, personalized, and meaningful cost and quality information to guide better healthcare purchase decisions

Provider Performance Management: managing provider engagement and performance with actionable quality and cost performance analytics that support any care delivery or reimbursement model

Pharmacy Performance Management: assessing the efficiency and effectiveness of pharmacy management operations both internally and against national benchmarks

Plan Performance Management: monitoring, evaluating and comparing plan performance based on efficiency, quality and cost performance

Payment Innovation: aligning performance incentives to drive provider and plan improvement