Harness the power of your health care data

Reduce waste, lower costs and ensure compliance in your employee health plan without interrupting benefits

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A deeper understanding of member health insurance data

  • Ensures compliance and fiduciary oversight
  • Improves benefits and promotes high-value care for happier members
  • Minimizes liability
  • Provides a macro-level view of spending and cost savings
  • Creates pro-active options to find and prevent waste
  • Safeguards healthcare equity
  • Attracts and retains talent

Combine the power of AI with clinical expertise to prevent wasteful plan spend. This easy-to-achieve and high-return is available to employers without requiring member behavior change.

SmartLight Analytics will

  • Work with your carrier to stop waste
  • Return real dollars back to your plan
  • Operate behind the scenes to do all the heavy lifting
  • Become a supportive member of your benefits team
  • Steward your data
  • Serve as your data warehouse
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Studies estimate that approximately 3-10% of any population’s annual health expenditures are wasted on fraud, waste or abuse
3 %

WHY PARTNER WITH SMARTLIGHT?

Waste is costing you money

  • Waste and low-value care hidden in your employee healthcare claims is driving up a significant percentage of your annual cost increase. The National Health Care Anti-Fraud Association (NHCAA) estimates the losses due to health care fraud are in the tens of billions of dollars each year. Some experts place the total as high as 10% of the annual health outlay, which could mean more than $300 billion in losses. Recent reports show low value care such as healthcare services not provided or medically unnecessary add up to nearly 34% of the waste identified by NHAA in its first quarter report for 2023.

You have a fiduciary responsibility

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

We do the heavy lifting.

  • Your team has enough to manage administering all aspects of your benefits plan. We add new power to your team, working in partnership with your carrier and TPA to find waste, remediate overspending and prevent future financial loss in your plan. We work behind the scenes to provide on-going and non-disruptive monitoring. ​
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OUR SOLUTION

SmartLight Analytics takes a low-touch, holistic approach to your employee healthcare claims data. With proactive, continuous monitoring to find and prevent waste, we ensure a return on your investment.

For our employer partners, the benefits include:

  • Data-analytics and AI experts added to your benefits team
  • Ongoing remediation and prevention of fraud, waste and abuse
  • Plan cost savings without changing employee behavior
  • Improved relationships with your carriers and TPAs
  • Reduced risk
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MORE THAN JUST AI

The SmartLight team of analytics experts, data scientist, 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 experience. Our team supports your benefits team and works with your established partners. 

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DATA INSIGHTS

4965 Preston Park Blvd. Suite 350
Plano, TX 75093
Phone: 214-501-1046
Fax: 214-501-1208
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