Allymar Health brings expert advisory services, owned technology and BPaaS offerings and pairs these with industry-leading Medicare Advantage technology in one centralized platform. Our health plans and risk-bearing providers receive access to best-in-class products and services such as:
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Risk Adjustment & Quality Services
Core Administration
Health Management and Risk & HEDIS
Integration Architecture provided by
Our Technology Partners
Allymar Health’s Medicare Advantage Suite enables health plans and risk-bearing providers the ability to access best-in-class technology tools all in one singular platform
Our Medicare Advantage Suite enables health plans and clinical teams to improve patient care with real-time actionable data provided at point of care.
This allows our Health Plan Partners to:
Reduce administrative expenses.
Be fully compliant and secure.
Access the best enterprise technology partners in one simplified platform.
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Our Medicare Advantage Platform
Allymar Health provides BPaaS, Medicare Advantage Suite consisting of an end-to-end turnkey AI powered platform supported by a robust suite of services that enables mid-market health plans to access market-leading capabilities, compliance-driven solutions and differentiated value.
MA Advisory Services
Offers specialized advisory services including diagnostic services to pinpoint, and capture trapped value powered by AI and analytics
BPaaS Services
Comprehensive suite of Core Admin, Risk & Quality, and Health Management services delivered by an experienced team.
Medicare Advantage Platform
An end-to-end future tech ready Medicare Advantage platform, that is multi-tenant and tailored to the unique needs of growth-oriented plans and risk-bearing providers.
Empowering clinicians at the point of care with the ability to:
Attain 99% coding accuracy
See real-time data in their EMR
Receive recommendations on closing care gaps
Nudge their patients and clinicians to schedule the next session
Take unstructured data from all sources and have them pulled into coding recommendations, care gap opportunities and next steps for patients.
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Allymar Health’s Medicare Advantage Suite
Risk Adjustment & Quality Services
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Risk Diagnostic
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AI Chart Review
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AI HEDIS
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Risk & Quality Analytics
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In-Home Assessments
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Member And Provider Outreach Services
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CAHPS Survey
Core Admin
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Core Admin Diagnostic
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Enrollment And Billing
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Claims And Payments
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Member Service
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Customer Service
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FWA/SIU
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Appeals & Grievances
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Broker Management and Commission
Health management
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Health management
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Care Management
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Clinical Insights & Diagnostics
Artificial Intelligence
Stars
Pharmacy STARS Reporting
CMS / HHS Submissions
Member Engagement
Provider Engagement
Analytics & OS
AI / Chart Review
OCR & Workflow
Reporting & Analysis
Performance Dashboard
Data Warehouse
Data Quality & Standardization
Operational
Analytics & Bi
Head-to-head competition
In four (4) recent ‘head-to-head’ comparisons with ‘market-leading’ competitors, our AI outperformed on accuracy and total value.
We have ‘won’ 100% of the ‘head-to-head’ comparisons in the mid and large markets.
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What benefits we offer
Allymar Health offers multiple benefits and impacts for risk bearing providers.
Our ability for multi-faceted wins across your organization allows for providers to earn more money, save time and costs and to allow their care teams to focus on the work they love: improving patient outcomes.
Increased revenue
Improve risk revenue 15-30% + streamline coding efficiency*
Improved care delivery
Improved care delivery and coordination of care for each patient
Decreased OpEx
Costs and Expenses decreased as well as the time of the care team is refocused.
Achieve quality metrics
Achieve quality metrics across your ACO
Increased compliance
Compliance focus strengthening navigation of CMS and State regulations
Increased vendor governance
Streamlined vendor governance from many-to-one with Allymar Health
Allymar Health enables growth-oriented MA plans to compete and outperform in the middle market by providing an integrated fabric of core admin and care management solutions to power their operations.
Increased profitability
Our core admin solution has a defined value and return on investment. This results in up to a 20% reduction in PMPM
Improved risk score
Improve risk score accuracy by up to 20% via AI solution*
Decreased OpEx
Costs and Expenses decreased as well as the time of the care team is refocused
Increased compliance
Compliance focus strengthening navigation of CMS and State regulations. Improvements in accuracy and transparent
Innovation tied to value outcomes
Our commitment to innovation means we will continue to drive value across each every member
Single point of accountability
Streamlined vendor governance from many-to-one with Allymar Health AI
*Performance is based on that of the partner and their population and therefore performance may vary
*Performance is based on that of the partner and their population and therefore performance may vary