Who We Help | Payers
A strong foundation for health plan performance
Fragmented information and competing priorities make it difficult for health plans to improve outcomes while controlling costs. A solid foundation enables organizations to align teams, optimize performance, and deliver better results for members and the business.
Why Payers Choose Arcadia
Arcadia helps health plans move beyond fragmented data and disconnected workflows to create a shared understanding of members, providers, risk, and outcomes.
Connect data across the entire ecosystem
Unify clinical, claims, and operational data into a governed, connected platform to create a complete and trusted view of members, providers, and performance.
Drive measurable performance across your network
Gain visibility into quality, cost, risk, and utilization so teams can identify opportunities sooner and execute value-based strategies with greater precision.
Strengthen financial and risk outcomes
Improve risk capture, understand total cost of care, and uncover opportunities to reduce avoidable spending while supporting sustainable financial outcomes.
Enable more effective care management and member engagement
Equip teams with actionable insights to target interventions, close care gaps, and improve member outcomes.
Streamline operations and regulatory reporting
Reduce administrative burden with automated analytics, quality measurement, and simplified reporting across programs.
See the Impact
Provider doorsteps with clinical integration1
Suspected per Medicare Advantage member1
More blood pressure control quality gaps closed2
1Based on data across all Arcadia customers. 2Results from provider panels with varying levels of clinical connectivity.
Webinar
Value-Based Care’s Next Phase: Blue Shield of California’s Approach
Hear how Blue Shield of California is strengthening provider partnerships, using clinical data, and adapting care models to improve quality and affordability amid evolving CMS initiatives. Watch ⟶ 1 min read Webinar
Customer Story
Transcarent: Empowering Consumer Choice with Data
Transcarent is a health and care experience company that connects consumers directly with transparent information and trusted guidance so they can access high-quality, affordable care on their own… View ⟶ 3 min read Customer Story
Blog
Bridging the Gap: How Payers and Providers View Shared Accountability in Value-Based Care
Survey findings show where payers and providers align and diverge on shared accountability in value-based care, and what’s needed to collaborate effectively. View ⟶ 1 min read BlogGet Started
Connect with our team to explore tailored solutions for your organization.
Arcadia Ascent
Arcadia Ascent™ builds on the foundation of Ascent Performance by automating retrospective workflows and improving performance at scale.
Arcadia CareJourney
Arcadia CareJourney™ builds on the foundation of Ascent Performance by automating retrospective workflows and improving performance at scale.