Offer tailored benefits to targeted subpopulations
Sprite’s dynamic benefits solution enables payers to structure cost-sharing and other health plan design elements to encourage targeted members to use the services that can benefit them the most. With dynamic benefits, payers can promote quality and access to care by offering tailored benefits for targeted groups of members or implement VBID models to reduce cost-sharing for high-value services.
Create personalized benefits
- Target subpopulations by defining eligibility based on chronic conditions, socioeconomic status
- Highly customizable member benefit programs with flexible cost-sharing options to meet clinical and social needs
- Flexibility to customize spending controls
- Deliver multiple programs and benefits on one card with MCC restrictions
- Meet members where they are with branded multi-channel messages
- Offer incentives based on high-value care utilization and rewards for participating in care management programs
Optimize financial performance
- See the impact of reduced cost-sharing and member allowances on projected utilization
- Budgeting for incentive and reward programs
- Analytics to review purchasing trends and order preferences
- Cost-effectively administer and reimburse benefits with real-time adjudication against allowable reimbursements
- Live dashboards provide visibility into how your benefit programs are impacting members health outcomes every day
