HEALTH PLANS HAVE ACCESS TO INNOVATION AT A LOWER COST.
MORE CHOICES AND BETTER SOLUTIONS FOR LESS
We’ve created an ecosystem of payers, physicians, and network partners working together with patients to prevent chronic disease. Solera gives payers entrée to a high-access, low-cost network that’s continually innovating.
How it Works
PATIENT IS REFERRED TO SOLERA
Solera works with plans and physicians groups to identify members that are at highest risk for chronic disease using EMR and/or claims data; some members also self-refer using the online screener at Solera4Me.com.
SOLERA ENROLLS PATIENT
Patients are matched with the program provider where we believe they will have the greatest success. Patients who have a preference may select the program provider of their choice.
PATIENT ACHIEVES MILESTONE
Network partners use Solera technology to track patient activity and progress; when a patient achieves one of the four designated milestones, Solera submits a claim to the payer. Milestones are both activity and outcomes-based.
PAYER PROCESSES THE CLAIM
Based on the milestone achievement, the payer reimburses Solera, who then submits payment to the network partner.
SOLERA GENERATES REPORTING
Solera provides dashboards and regular reporting at the individual, group, physician practice and payer level. Network partners are also monitored closely to ensure they are meeting outcomes.