Healthmine Unites Strategic Tech Vision and Consulting Practice

DALLAS, TX, January 17, 2024 /Business Wire/ - As health insurers grapple with ongoing change and increasing market competition, Healthmine is renewing its commitment to offering industry-leading consulting and technology services. Healthmine aims to help health plans build, assess and enhance their strategic and revenue goals with the industry’s best thought leaders, backed by a robust suite of technology offerings that action long-term, sustainable performance and member experience improvement.

Healthmine is the only tech company in the market offering expert consulting aligned to a member engagement and experience solution. This allows health plans to more thoughtfully approach and action the biggest current and future regulatory changes that could impact quality and risk scores and revenue potential, including health equity and requirements unique to Medicare Advantage, Medicaid and Dual Special Needs Plans (D-SNP).

“Our goal is to give health plans all the tools they need in one place to better activate members,” says Bryce Williams, President and CEO. “One-on-one strategic planning with the most experienced consultants in the business is a critical part of ensuring we’re meeting our clients’ immediate needs. And by pairing this guidance with the right tool set, plans are set up for long-term success to put their strategy into action, well beyond their partnership with consultants.”

The consultants are led by Kimberly Swanson, Chief of Staff. Swanson first joined Healthmine as Senior Vice President, Consulting & Professional Services. She previously led a 5-Star health plan, overseeing its Star Ratings, Healthcare Effectiveness Data and Information Set (HEDIS®), National Committee for Quality Assurance (NCQA), Quality Rating System, population health, clinical integration and value-based care programs.

John Willis, Vice President, Consulting & Professional Services, and Dwight Pattison, Executive Advisor, will manage day-to-day consulting operations and support the assessment of new clients to align health plan needs with the right consulting partner. Ana Handshuh, CHC, Senior Advisor, will continue actively supporting Healthmine’s clients and offers decades of experience creating programs for the healthcare industry, including community-based care management programs critical for addressing the social determinants of health and meeting health equity requirements.

The Expert Advisory Services team employs 15 consultants, each with 15 or more years of relevant industry experience across Star Ratings, quality programs, member and provider engagement, regulatory and operational compliance, risk adjustment, pharmacy benefits and more.

“We have curated this team of expert advisors to be able to address each unique need of our client partners and foster strategic thinking that will carry health plans into the future,” says Swanson. “Our philosophy is that our consultants are an extension of our client partners’ teams. Their performance successes are our top priority.”

About Healthmine

Healthmine is the industry’s leading member engagement solution focused on empowering people to take the right actions to improve their health and achieve a health plan’s operational targets. We build personalized, ongoing member engagement strategies for health plans in all lines of business. Our SaaS-based, always-on Quality Relationship Management™ (QRM) platform drives care gap closure with customized triggers based on clinical, pharmacy, CAHPS and HOS measures. When paired with intelligent incentives, plans see accelerated results in health equity and member outcomes while better managing medical spend. In addition, Healthmine clients have transparency into real-time, actionable insights on the success of member engagement and satisfaction initiatives, and the ability to bridge quality and risk efforts to better identify and prioritize areas of opportunity. With Healthmine, plans gain access to a comprehensive solution to improve on specific quality measures, meet ongoing regulatory changes and improve Star Ratings. Connect with us at Healthmine.com and on LinkedIn.