New quantum health solution aims to give employers more flexibility - MedCity News

Navigation company Quantum Health announced a new solution Tuesday that will offer employers more flexibility in designing their benefits programs.

Based in Dublin, Ohio Quantum Health, founded in 1999, works with self-insured employers to help their employees understand and engage with their health benefits. It serves around 500 employer clients, which together have over 2 million employees.

The new solution is called Quantum Health Access, which offers health benefits navigation, provider search, claims assistance, point solution referral and member engagement communications. Its existing solution, Quantum Health Complete, offers the same suite of solutions as well as care coordination services such as utilization management, behavioral health support and disease management.

Quantum Health Access allows the company to offer employers a smaller set of services when they aren’t quite ready to take on the full package that Quantum Health Complete provides, CEO Zane Burke said.

“Our end-to-end solution has historically literally replaced your insurance carrier. You hire a [third party administrator], you hire Quantum to do everything else,” Burke said in an interview. “If you’re a particularly large self-insured employer, that can be a daunting task…What Access allows us to do is really meet our customers a little more where they are. “Okay, you’re not ready to completely rip everyone off, but you want to take advantage of the concierge benefits.”

Employees can access these services through Quantum Health’s app called MyQHealth, which is available on the Apple App Store and Google Play. Or if they prefer, they can call the company to get the same services over the phone.

Healthcare navigation services are increasingly sought after by employers, studies show. The McKinsey Employer Health Benefits Survey 2022 found that 41% of 1,640 employers already offer or will definitely offer advocacy services, such as care navigation, for their workers. These types of services are useful because employers are balancing several things at once, said Mike Sagle, a partner at Mercer.

“The challenges facing employers today continue to multiply,” Seigel said in a news release. “Flexibility is critical, especially for employers who meet the needs of diverse populations across wide geographic regions. Among many other things, they are juggling multiple plans and carriers, new regulations, new virtual care models, traditional care settings and a growing list of digital health point solutions. Providing a flexible platform for navigating and coordinating employee care allows them to bring everything together in one simple and efficient experience that drives better engagement and results—for both the employer and its employees. This is a significant step forward for employer-friendly navigation options.”

Ultimately, by providing Quantum Health Access, the company hopes to help employers move away from traditional carriers, but in a way that isn’t as drastic, Burke said.

“What we’ve really done in Access is to separate out a few of the service offerings that we have and create [solution] which allows our customers not to have so many disruptions at once.”

Other healthcare navigation companies include Recognition and HealthJoy.

Photo: Quantum Health

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