Leverage a comprehensive, data-driven platform that transforms complex healthcare challenges into strategic opportunities, enabling health plans to deliver exceptional value through intelligent, integrated solutions.
HEALTH PLANS
Personalized Member Experiences Across Every Touchpoint & Business Line
Deliver the most personalized, connected digital experiences, and get to know your members even before the first claim.
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Maximize ROI, Amplify Member Engagement, and Stay Ahead of Regulatory Readiness in One Platform.
Real-time, multi-source data built on FHIR. Seamlessly integrate diverse healthcare data streams for comprehensive, interoperable member insights.
Proven compliance for CMS, TEFCA, MIPS, and beyond. Navigate complex regulatory landscapes with our robust, future-proof compliance framework.
100+ care gap programs and digitized HEDIS quality measures to improve outcomes. Leverage advanced analytics to identify, prioritize, and close critical care gaps effectively.
Engage Members Like Never Before Through a Proactive, Personal, and Scalable Solution
b.well empowers health plans to move from claims-based, reactive engagement to proactive, scalable, personalized member experiences. Whether you’re focused on compliance, quality improvement, or digital transformation, b.well has the modular solutions to meet your needs across all of your business lines today and tomorrow.
Data Network Access
Access the most complete consumer-mediated health data network in the industry and eliminate the patchwork of point connectors with a unified architecture that bridges all critical health data domains with built-in support for every permitted use case.
- Become a CMS-Aligned Network and access the only true network of networks with end-to-end data coverage and immediate connectivity
- Gain near-real time updates, within 24 hours, across the broadest set of clinical, claims, pharmacy, diagnostics, SDOH, wearable, and consumer data
- Convert raw, disparate data into clean, normalized, enriched, lineage-aware, production-ready datasets, ready for your models, analytics, and workflows
Largest Network Coverage
Access the largest and most broad data network to support national and regional initiatives.
- 94% geographical coverage in the U.S with access to 255 million consumer lives
- Connecting 100% of the top 10 health systems in every region in the U.S.
- b.well monitors new standards and elements and we notify your team when they land
Diverse Data Sources & Types
Deliver on the most complete, standardized, and real-time data that is ready for activation.
- Consumer-generated data such as health risk assessments, social determinants of health, preferences and more.
- Patient Access APIs via connections to over 2.2 million providers and 300+ health plans, along with pharmacies, labs, diagnostics, and wearables.
- Network data connections through HIEs, HINs, TEFCA/QHINs, CMS-Aligned Networks, and more.
- Client core systems integration with systems already in use, including EHRs, claims, CRMs, eligibility, care management, and more.
Complete Longitudinal Records
Decades of history spanning primary care, specialty, inpatient, pharmacy, and payer data for population health and personalized engagement.
- Know your members even before their first claim
- Personalize outreach, benefit design, and care plans for individual needs
- Drive adherence, satisfaction, and loyalty through precision engagement built on real insights
Member Portal+
Engage members before their first claim. Deliver a fully-branded digital front door that empowers members to self-serve, manage their health, and stay engaged across web, mobile, and omnichannel touchpoints.
- Shift from reactive to proactive engagement
- Build loyalty through personalization
- Offer scheduling, records access, and care navigation in one place
Holistic Member View
Unify medical, pharmacy, behavioral, and social data to deliver one holistic member profile.
- Identify gaps in care early
- Improve program targeting
- Enable smarter outreach
Personalization
AI curates relevant programs, reminders, and next steps based on member data.
- Improve medication adherence
- Drive preventive screenings
- Increase program enrollments
Access to Care
Ensure your members can easily find the care they need wherever they are and whenever they need it.
- Omnichannel access whether the care a member needs is in-person or online
- Allow members to easily find providers and schedule appointments
- Boost engagement with third party digital health solutions and services
Conversational AI
Turn member personal health records into intelligent companions, answering questions, surfacing insights, and guiding next steps in plain language.
- Helps members understand complex medical information and care options without jargon
- Surface tailored recommendations based on complete health records, history, and preferences
- Proactively suggest next steps like scheduling visits, filling prescriptions, or managing chronic conditions
Data Portability
Enable data portability and deliver on CMS’s “Kill the Clipboard” initiative. Align with the movement to make health data digital, portable, fully secured, and controlled by the member.
- Replace manual intake and clipboard forms with real-time records and digital identity options at the point of care
- Empower members to securely share data via FHIR APIs and QR codes
- Reduce redundant tests, delays, and the burden of manual chart or intake reviews
- Improve member experience by minimizing paperwork and friction
Quality Improvements & Automated Reporting
Turn insights into action to elevate quality performance and deliver measurable results. Our platform powers Star ratings, closes HEDIS gaps, and supports digital quality measure (dQM) reporting with real-time data, CQL-based logic, and engagement tools that move the needle.
- Improve performance measures at the member level with actionable insights
- Drive early intervention and promote preventive care
- Reduce care gaps and streamline reporting with automated dQM workflows
Clinical Quality Engine
Use standardized Clinical Quality Language (CQL) to power digital quality measurement and care gap analysis.
- Support CQL-based digital quality measurement (dQMs)
- Reduce manual abstraction
- Comply with CMS’s Merit-Based Incentive Payment System (MIPS) program
Member-Level Insights
Aggregate and surface actionable insights that link members to the right next step.
- Improve chronic condition management
- Personalize outreach
- Reduce readmissions
Stars & HEDIS Automation
Track and optimize scores with real-time dashboards and predictive analytics.
- Prioritize high-impact or rising-risk members
- Focus on high-value interventions
- Demonstrate ROI and outcomes
Digital Quality Measures (dQMs)
Replace manual processes and automate digital quality measures for both regulatory reporting and improved consumer care.
- Calculate certified NCQA and CMS measures
- Comprehensive measure support
- Real-time quality insights
