Current approaches to population health management do not have enough cost and quality impact. Our new model does.
An innovative solution to a chronic problem.
We’re experiencing an extraordinary affordability crisis in healthcare. Not only are medical costs continuing to outpace inflation, but post-COVID utilization spikes, Medicare Advantage rates pressure and provider demands for higher reimbursement are further squeezing health plan margins.
7.5%+
Medical Cost Increase
Expected 2025 – highest in 13 years
2.8%+
MLR increase
On average 2023-2024
2.5%+
Lower MA Scores
Expected 2025 – highest in 13 years
$42.5B
Rise in hospital labor costs
from risk adjustment expected 2025
Adding to cost pressures, the 65+ US population continues to grow, along with the prevalence of chronic conditions, while member/patient engagement has fallen.
22M
More Seniors
By 2054
90% of $4.1T
Annual US Healthcare Spend
for chronic conditions
5.0% drop
In Customer/Member/Patient
experience index 2021-2024
Despite these challenges, more than 75% of health plan executives report that their current population health management tools are fragmented and fail to provide actionable insights.
As a result, although value-based care models continue to grow and show promise, current tools aren’t yet enabling the predictable costs at scale necessary to succeed in the face of these headwinds. More than ever, payers are seeking solutions that combine seamless workflow automation, AI enablement, clinical capacity, and integrated care models to bend the total cost of care (medical & admin), increase member / patient engagement, and improve quality and care gap closure.
Zyter
Outcomes Orchestrator™
Powered by
TruCare
An evolution in how to manage outcomes at scale.
Digital Platform
A modular foundation built to integrate systems, surface insights and support scalable transformation across industries.
ΑΙ Orchestration
Beyond isolated use cases – AI that connects multiple AI agents, data and people to orchestrate intelligence throughout yourcore workflows
Expert Services
Strategy and operations experts who ensure technology delivers measurable value – beyond just implementation.
Transformational Outcomes
From cost reduction to experience improvement, we deliver quantifiable outcomes that matter – at scale, and with speed.
The only fully automated, fully integrated, fully outsourced population health management solution that offloads medical cost risk while improving care outcomes
No other market solution provides this breadth of integrated capability with fixed cost and risk.
If…
• Lower medical expense • Lower administrative expense • Better member engagement • Higher quality scores • Better, faster care outcomes
With...Fixed medical cost risk
…sounds like a solution for an underperforming population health or care management program, let us be of help.