Key Highlights
- Quantum Health expands its healthcare navigation services to support over 30 million Medicare Advantage members, aiming to improve plan Star Ratings and member satisfaction.
- Introduction of year-round navigation support and dedicated Healthcare Warrior teams to assist in care gap closure and enhance member engagement.
- Leverages Real-Time Intercept® and AI for proactive healthcare journey support, aiming to boost clinical outcomes and member experience.
Source: Business Wire
Notable Quotes
- “Medicare Advantage plans are challenged with helping millions of people manage complex care. They need a proven navigation service that can be with their members throughout their healthcare experience while helping plans address gaps in care and drive better member engagement,” – Shannon Skaggs, President at Quantum Health
- “We have designed our Medicare Advantage navigation service to meet the unique needs of both Medicare Advantage plans and their member populations. That means leveraging our core capabilities to support acute care for an increasingly aging population, expanding provider networks and virtual care options to cover less penetrated markets and rural populations, and addressing social determinants of our members’ health — all to close clinical care gaps and improve clinical outcomes,” – Dan Shur, Chief Product Officer at Quantum Health
SoHC's Take
Quantum Health’s strategic expansion into Medicare Advantage navigation underlines the critical need for innovative, member-focused solutions in healthcare. This move not only showcases their deep industry expertise but also their commitment to enhancing healthcare experiences across all touchpoints. Quantum Health’s holistic approach, blending technology with human-driven care, sets a new benchmark in healthcare navigation, promising to address the multifaceted challenges faced by Medicare Advantage plans today. Their focus on improving Star Ratings through better member engagement and care coordination reflects a forward-thinking strategy that aligns with the evolving demands of the healthcare industry.
