Harness the power of your healthcare data​

Solutions to lower healthcare costs without interrupting benefits

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DATA LEADS THE WAY

SmartLight Analytics provides independent, on-going monitoring of your employee healthcare claims data to find and remove wasteful spend from your health plan.

  • Reviewing 100% of claims captures the most savings
  • Return real dollars to your plan and prevent future loss
  • No employee behavior change required
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A deeper understanding of member health insurance data

  • Improves benefits and promotes high-value care for happier members
  • Creates pro-active options to find and remove wasteful spend
  • Safeguards healthcare equity

WHAT'S IN YOUR HEALTHCARE DATA?

Hidden waste costing you money

  • The waste and low-value care hidden in your employee healthcare claims drives up a significant percentage of your annual employee plan cost increase. Some experts place the total as high as 10% of the annual U.S. health outlay. Finding and removing these wasteful costs can mean significant plan savings for self-funded employers.

The info you need as a fiduciary

  • The Consolidated Appropriations Act (CAA) gives you the power and the responsibility to use your healthcare data to manage cost and ensure you are meeting your oversight requirements under ERISA.

An opportunity to improve benefits

  • Your team has enough to manage administering all aspects of your benefits plan. We add new power to your team through data review and interpretation. Then we do the heavy lifting, working in partnership with your carrier and TPA to stop overspending and prevent future financial loss in your plan -- all behind the scenes.
“SmartLight provides more than just identifying FWA in my claims. They reviewed my SPD and contracts to improve my fiduciary responsibilities. And since they have all of my claims, they are now my database provider supporting me with superior analytics.”
Joe Toniolo
Joe TonioloSr. Director, Health & Welfare Plans
“They have an extremely innovative solution … We have the highest ROI for SmartLight than for any of our vendors.”
Mike Adams
Mike AdamsHead of Benefits
“We believe that continual claims review is a permanent part of how we have to operate.”
Nathan Gregory
Nathan GregoryFormer HR Director
“I have a fiduciary insurance policy, it's called SmartLight Analytics!”
Mike Adams
Mike AdamsHead of Benefits
“Health Transformation Alliance is transforming healthcare to deliver more value to everyone, which is exactly what SmartLight Analytics is doing with its analytic methods and expertise. They are passionate about reducing healthcare spending.”
Lee Lewis
Lee LewisChief Strategy Officer & GM Medical Solutions
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FWA 101

As a self-funded employer, you play a vital role in protecting the integrity of your healthcare program. Download our FWA 101 document to learn more about the problem, law governing healthcare regulations and how to protect your dollars.

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MORE THAN JUST DATA

The SmartLight team of analytic experts, data scientists, physicians and investigators is uniquely qualified to work alongside your claims administrator to resolve issues within the claims approval process. Our leadership team has a combined 50 years of experience in healthcare, data analytics and fraud investigation. Our team supports your benefits team and works with your established partners. 

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CONNECT WITH OUR TEAM

DATA INSIGHTS

“Once SmartLight analyzed my claims with their AI analytics and rigorous review process, I was so angry to learn that we had tens of millions of potential fraud, waste and abuse. SmartLight's work doesn’t end in identifying the FWA, they actually partner up with my vendors to collect back my overpayments. Minimal effort on my part.”
Joe Toniolo
Joe TonioloSr. Director, Health & Welfare Plans
“They have an extremely innovative solution … We have the highest ROI for SmartLight than for any of our vendors.”
Mike Adams
Mike AdamsHead of Benefits
“We believe that continual claims review is a permanent part of how we have to operate.”
Nathan Gregory
Nathan GregoryFormer HR Director
“SmartLight provides more than just identifying FWA in my claims. They reviewed my SPD and contracts to improve my fiduciary responsibilities. And since they have all of my claims, they are now my database provider supporting me with superior analytics.”
Joe Toniolo
Joe TonioloSr. Director, Health & Welfare Plans
“It's refreshing to work with a vendor who consistently delivers on their promises. (SmartLight) is immediately available for my feedback and customization requests, helping us continually improve and strengthen our shared payment integrity efforts for our clients.”
Account ManagerLarge TPA
“I have a fiduciary insurance policy, it's called SmartLight Analytics!”
Mike Adams
Mike AdamsHead of Benefits
“Health Transformation Alliance is transforming healthcare to deliver more value to everyone, which is exactly what SmartLight Analytics is doing with its analytic methods and expertise. They are passionate about reducing healthcare spending.”
Lee Lewis
Lee LewisChief Strategy Officer & GM Medical Solutions
4965 Preston Park Blvd. Suite 350
Plano, TX 75093
Phone: 214-501-1046
Fax: 214-501-1208
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