Healthcare Navigation Connecting members to the right care at the right time
At Quantum Health, we believe healthcare navigation is more than just an advocacy or concierge service. It's about guiding members to the best care through AI-powered insights, empathetic Care Coordination and a seamless digital experience. We support, guide and care like lives depend on it, because sometimes, they do.
Dedicated to simplifying the healthcare experience
We advocate for the member by navigating insurance complexities, clarifying treatment options and facilitating clear communication with healthcare providers. With Quantum Health, members receive personalized support, empowering them to make informed decisions and access care with confidence.
One hub, endless benefits
Our easy-to-use platform connects all your members’ healthcare benefits and digital tools, making it simpler to understand, manage and utilize them. We deliver a comprehensive experience that provides guidance for every healthcare question, need and concern.
Early intervention improves outcomes
Rooted in empathy and backed by AI-driven insights, we engage earlier than any other navigation company in the market. Our empathetic Care Coordinators connect with members and their providers from the start of the healthcare journey, enabling us to:
- Intercept health journeys before substantial costs occur
- Guide members to in-network, clinically appropriate care
- Check benefits eligibility and provide authorizations for providers
- Improve health outcomes and cost savings
Better care starts with the right provider
Care Finder by Embold Health helps every member identify the right providers for their specific needs. Built on data from 230 million member journeys, this provider search tool guides members to high-quality, cost-effective care.
Seamlessly integrated into the Quantum Health experience, Care Finder is available for all clients at no additional cost, with buy-up options for those with advanced needs.
- Better health outcomes
- Easier decisions
- Measurable savings
Elevated benefits strategy
We align with your unique goals to help positively impact your organization. Unlike traditional models, Quantum Health acts as the single point of contact for your HR team, plan members, providers and other benefits partners. The result is a cohesive, caring experience for your members and organization.
Unmatched results
Quantum Health delivers meaningful results at a consistently higher, more holistic level than other navigation providers. It starts with financial return on investment from sustained cost control and claims savings, and extends to productivity gains through a healthier workforce. The result is a comprehensive solution delivering significant value across your organization.
- 5.5:1 Year 3 ROI
- 95% client retention
- 80%+ member households engaged
- 5.9% Year 1 claims savings
- 70+ member Net Promoter Score® (NPS®)
