Collective Health
Collective Health provides a comprehensive platform for employee health benefits, integrating plan administration, navigation, and advocacy, and serves over 400,000 members across all 50 states with a 99% accuracy rate in medical claims processing.
Company Overview
Collective Health processes medical claims with a 99% accuracy rate and has processed $11 billion in claims to date. Serving over 400,000 members across all 50 states, Collective Health integrates plan administration, navigation, and advocacy into a flexible technology and service platform that supports self-funded employers and their populations nationwide.
Services and Platform Features
Collective Health's platform includes a member app, navigation and advocacy services, and complex care management. The platform supports integrations with third-party health and wellness programs and features Collective Compass™, an employer dashboard for reporting and performance analytics. It ensures a seamless experience across the entire health benefits ecosystem, supporting secure messaging and end-to-end data protection.
Care Navigation and Support
The Care Navigation program at Collective Health, accredited by NCQA in 2022, includes a team of highly trained nurses, social workers, dieticians, and pharmacists. Member Advocates provide empathetic and supportive member engagement, contributing to a 90% member satisfaction score. The platform has a 25% lower ER utilization rate than the national average.
Member Engagement and Satisfaction
With an 80% member household digital account engagement rate, Collective Health's platform is designed to enhance member satisfaction. The company has achieved a Net Promoter Score of over 70, significantly higher than the health insurance industry average of 9, reflecting substantial member satisfaction and engagement.
Healthcare Cost Efficiency
Collective Health's solution has proven to be cost-effective, reducing healthcare cost trends by 50% over a five-year period for studied customers. This financial efficiency is supported by the platform's comprehensive approach to health benefits management, partnering with over 100 program partners across 18+ clinical categories.