BenInsights®
The strategic healthcare benefit plan management platform that goes beyond reporting by turning data into actionable intelligence.
Healthcare Cost Control
Benefit Optimization
Supercharge plan performance with a platform built for analysis and action, not just data.
Benefits leaders face mounting challenges such as rising healthcare costs, complex plan design decisions, and a greater need than ever to demonstrate clear ROI. That’s where BenInsights comes in — to give you a competitive edge in the modern marketplace.
Make smarter, data-driven benefits decisions
Transform fragmented data into actionable insights
Combine financial, clinical, pharmacy, and biometric data
Improve plan performance, afford-ability, and compliance
Support better member outcomes
Capabilities that empower
clarity and quality.
Together, the tools BenInsights brings to the industry help eliminate the data chaos, blind spots, and uncertainty that make benefit plans hard to manage. With BenInsights, you can move from reactive cost control to proactive, data-driven strategies to optimize benefits.
A full spectrum of advanced analytics.
With BenInsights, we apply modern technology to gather, cleanse, and transform your financial and clinical data. We then apply comprehensive analytic tools to make it actionable.
Descriptive
More than 200 automated, customizable reports tracking plan performance, utilization, and cost trends that are brought to life through executive dashboards and ad hoc reporting tools.
Predictive
Forecast population-level health and financial risks with interpretable risk-scoring, such as disease onset probabilities and early intervention indicators.
Prescriptive
Claims-driven insights via Smart Cards to mitigate risks with early and effective intervention — monitoring factors such as high-cost drug utilization, ER overuse, and chronic condition management.
Interactive plan management tools.
From forecasting the financial impact of plan changes to identifying optimal plan designs, BenInsights ensures plan designs are tailored to meet the unique needs of employees while maximizing cost savings.
Plan Design Explorer
Enables “what-if” scenario modeling based on real claims experience to forecast the financial impact of design changes in real time.
Plan Design Optimizer
Performs billions of calculations, analyzes vast amounts of data, and determines the optimal plan design for a specific population.
Portfolio Reporting
Compares client groups at the portfolio — an ideal perspective for brokers and advisors managing multiple employer accounts.
Real World Successes:
How Data Analytics Are Transforming Employee Benefit Programs
(and How You Can, Too)
Are you ready to move beyond short-term wins to sustainable benefits management? The competitive advantage of truly sustainable benefits has never been more important.
How BenInsights makes a difference.
Provides a single source of truth for financial and clinical data
Eliminates blind spots by integrating over 200 data connections
Reduces catastrophic claims and improving member outcomes
Supports governance by delivering audit-ready, data-driven transparency
Identifies compliance vulnerabilities to help maintain compliance over time
Forecasts future risk via interpretable risk-scoring models
Prescribes specific interventions with Smart Cards
Pinpoints spend inefficiencies and forecasts the impact of plan changes
Identify Risk Early and Control Costs with Confidence
Strategy & Insights Services enhance BenInsights® by combining advanced analytics with clinical expertise to identify high-cost risks early and enable targeted intervention before costs escalate. Through ongoing claims monitoring and actionable insights, organizations can reduce avoidable spend, improve financial stability, and make more confident decisions throughout the year.
Engaging insights.
Claritev insights, resources, and case studies.
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On-Demand Webinar: Beyond Recovery: Designing the Next Generation Payment Integrity Program
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On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations
CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…
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How can BenInsights and Claritev help to supercharge benefit plan performance?
Reach out to learn how our solutions go beyond reducing costs and increasing transparency to enabling affordable care for all.