The backbone to connect markets & members

Standardizing cost, quality and healthcare access for employees, members, and patients

With the increasing federal regulation on consumer data empowerment and healthcare cost transparency, employers, plans, unions and hospital systems face increased pressure to present accurate financial and quality information to the health care customers they support. Sapphire’s nationally recognized Care365 platform provides and essential underlying backbone and data management platform to accurately present provider, facility, pharmacy, and other program data in a single easy to use shopping experience within any market. At the same time, our scalable platform provides a solid framework to coordinate accurate pricing across markets as consumers consider price from a number of different vantage points. 

Markets We Support

Commercial Health Plans

We offer a customer-centered “backbone” for transparent healthcare shopping, selection, and access. All other application can hang of of this backbone platform to drive a unified consumer centric engagement application.

Medicare Plans

Today’s Medicare Advantage members are increasingly digital but many still prefer an interactive conversation where concerns are shared and addressed. Our CareSelect platform provides a number of resources to help this group find and manage the cost of the right care.

Employer Groups, Unions & Labor Markets

Complexity of health care impacts employees. It can also lead to higher costs for employers because in that confusion, employees don’t always make the most cost efficient selections. In addition, since public employees traditionally enjoy a rich benefit package, they also lack an incentive to seek lower-cost care and reduce healthcare costs.

State & Local Governments

TBD

Hospitals & Health Systems

More than ever before, the patient has more responsibility for the health care dollar. Right to shop legislation is being approved in more and more states adding to the more unique strategies being introduced by payors. It seems likely that Transparency in Coverage rules that were just upheld will soon require facilities to post payor-negotiated rates for 300 services, and changes to Medicare Advantage and Interoperability rules will soon be in place. COVID pandemic is altering the market landscape with anticipated pent-up demand for services, more cost-conscious consumers, and users struggling to navigate the healthcare system.