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

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BY JESSICA DaMASSA, WTF HEALTH

One-to-watch as a possible well being tech IPO this 12 months is care navigator Quantum Well being, and I’m speaking to CEO Zane Burke about each their breaking new product launch AND the important thing variations between Quantum and the more and more aggressive discipline of different employer advantages advocacy-based companies like Accolade, Rightway, and Transcarent.

Personal fairness backed, two-decades outdated, and EBITA optimistic, Zane says Quantum Well being is delivering an ROI of “over two-and-a-half to at least one” to its consumer roster of 450 high massive, self-insured employers and saving greater than 14% on all healthcare prices over time. The brand new product – Quantum Well being Entry – is a streamlined, extra versatile model of the soup-to-nuts Full Care providing able to yielding these outcomes, and it’s being provided to present the most important of employers (these large enough to be working with a number of well being plans, for instance) a strategy to begin out with Quantum’s data-driven navigation instruments with no complete overhaul of their present advantages scenario.

Zane explains Quantum’s “real-time intercept device” and the way it not solely helps have interaction high-utilizers in an employer’s plan (aka those that spend greater than $10,000 in claims), however how 85% of the time it catches them on their care journey earlier than they’ve spent a thousand {dollars} – creating an early alternative to offer higher routing and, in the end, scale back total prices. The upside for Quantum? “Employers have lengthy considered the carriers as that is their duty, however the carriers are actually maximizing round their siloed system to pay a declare, do the illness administration, get you off the cellphone and into any individual else’s queue,” explains Zane. “Our mannequin is, ‘hey…each single a type of interactions is a gold mine.’”

We get additional into the small print across the new Quantum Well being Entry product, and, extra importantly, what Zane sees as Quantum’s key level of differentiation in opposition to Accolade, Rightway, Transcarent, and the remainder. Tune in across the 20-minute mark to listen to this bit and to seek out out what Quantum’s doing with supplier knowledge that makes “everyone else that talks that recreation” seem like they’re simply enjoying “Decide Up Sticks.”

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