Collective Health Surpasses 100 Ecosystem Partners and Processes 23.6 Million Claims to Date

Entering its 10th year of serving self-insured employers, Collective Health shares exciting momentum around the growth of its partner ecosystem, clinical performance and value for its customers

SAN MATEO, Calif.--(BUSINESS WIRE)--Today, Collective Health celebrates significant momentum soon after its ninth anniversary as a company committed to delivering a better healthcare experience for employers and their people. Collective Health helps employers support competitive benefits offerings while making it easy for their employees to navigate them. In addition, since the company’s inception in 2013, Collective Health has processed over 23.6 million claims across pharmacy, medical (claims the company adjudicates), dental and vision benefits, resulting in more than $11 billion in claims processed.

“The healthcare market has gotten extremely noisy with empty buzzwords and inflated promises. Benefits leaders across the country have told us they are struggling with understanding and measuring what programs and networks deliver real value,” said Ali Diab, Founder and CEO of Collective Health. “At Collective Health, we have made it our mission from day one to simplify healthcare and to empower benefits leaders and American workers and their families to make sense of an increasingly complicated set of healthcare options. It’s clear we are making that a reality – and we now have substantial clinical performance and value data to show for it.”

In 2022, the company focused its efforts on further improving its member experience, helping more people find and get the care they need, including members with particularly complex care cases. In service of the complex care population, Collective Health created its Care Navigation™ program, comprised of a trusted team of Member Advocates, social workers, care coordinators, nurses, dietitians and pharmacists who assist members with complex needs as they navigate their care journeys. Last month, Collective Health earned a two-year Case Management Accreditation from the National Committee for Quality Assurance (NCQA) for its Care Navigation program, which plays a crucial role in helping people get the right support, at the right time, across an extensive set of complex health needs.

As a testament to its success and commitment to the member experience over the past decade, Collective Health currently maintains a customer satisfaction score of 90%, and has a 75+ transactional Net Promoter Score (NPS), compared to the health insurance industry average NPS of 9.

Collective Health’s approach has led to a number of clinical and financial outcomes, which the company hopes will pave the way for better customer and member experiences with their benefits. Collective Health’s approach has allowed the company to achieve the following for customers and members over the years:

• 40% of care gaps closed, including completion of age appropriate cancer screening, guideline-directed management of chronic disease and disease prevention measures
• 25% lower ER utilization than national benchmark, equivalent to $110,000 savings/year for a population of 1,000 employees
• 80% of customers surveyed reported a reduction in administrative lift
• 70% of claims dollars on average are preceded by a Collective Health engagement within 60 days or less
• 80% of inbound member inquiries by phone are responded to in 30 seconds or less
• 6 preventive visits for every 10 members enrolled with Collective Health, per year, which is 15% higher than the national average
• 2x savings from care management interventions as shown in one study
• $1,100 average savings for imaging services per site of care redirection in one study

Additionally, the Collective Health platform has expanded to now include over 100 ecosystem partners, in which the company’s flexible platform architecture lets employers plug in health benefits solutions to create an integrated experience for their people and their benefits team.

“I’ve worked in healthcare my entire career and I’ve seen the way the word ‘robust’ gets thrown around as it pertains to healthcare offerings. At Collective Health, we believe in empowering employers with best-in-class solutions, particularly now when it’s a hyper-competitive market for talent,” said Jennifer Danielson, Chief Growth Officer at Collective Health. “We make it possible for employers to architect a benefits program best suited to attract and retain their talent, and we serve as the infrastructure that helps administer their plan in a way that’s easy to understand and navigate.”

The company also continues to strengthen relationships with its partners through the Premier Partner Program™, launched in 2021. This offering makes it easier for employers to select, integrate, and evaluate digital health partners, while creating an even more streamlined and intuitive experience for members. The curated set of Premier Partners reflect the most sought after clinical categories, including virtual primary care, telemedicine, behavioral health, cancer, diabetes, musculoskeletal/digital physical therapy and family building.

Collective Health is working on new innovations and initiatives for 2023 that aim to enhance the way individuals and employers experience healthcare. To learn more about the exciting work underway, visit Collective Health at booth #4223 at HLTH 2022.

About Collective Health

Founded in 2013, Collective Health’s ecosystem of innovative partners across care and benefits delivery, and powerful and flexible technology better enable employees and their families to understand, navigate, and pay for healthcare. By reducing the administrative lift of delivering health benefits, providing an intuitive member experience, and helping improve health outcomes, the company guides employees toward healthier lives and companies toward healthier bottom lines. Collective Health is headquartered in San Mateo, CA with locations in Chicago, IL, and Lehi, UT. For more, please visit collectivehealth.com.