Navigation designed to benefit everyone
Quantum Health’s model is the first and only solution to seamlessly bring together member engagement, clinical support and provider interaction. We do it on one flexible platform, so everyone from your employees to their doctors has a single and easy place to go for help. As our clients like to say, “Just contact Quantum.”
Your carriers.
Your benefits.
Your solution.
Your people have diverse needs, from billing questions to complex condition management. Our navigation solutions work within your benefits ecosystem to deliver an improved member experience and clinical outcomes, along with cost savings.
Implement our best-in-class healthcare navigation solution, which works with your carriers to provide a simplified and improved benefits experience for your employees and their dependents.
Includes best-in-class healthcare navigation plus care coordination with clinical expertise. This model delivers enhanced results, helping improve health outcomes while reducing costs for your company and your employees.
As an employer, you want to help your employees manage their healthcare needs, but the complexity of point solutions can be overwhelming.
Overview of Services
Quantum Health Access™
Explore AccessQuantum Health Complete™
Explore Complete| Healthcare benefits navigation | Quantum Health Access™ offers Healthcare benefits navigation | Quantum Health Complete™ offers Healthcare benefits navigation |
|---|---|---|
| Provider search and guidance | Quantum Health Access™ offers Provider search and guidance | Quantum Health Complete™ offers Provider search and guidance |
| Claims assistance | Quantum Health Access™ offers Claims assistance | Quantum Health Complete™ offers Claims assistance |
| Point solution and community referrals | Quantum Health Access™ offers Point solution and community referrals | Quantum Health Complete™ offers Point solution and community referrals |
| Member engagement communications | Quantum Health Access™ offers Member engagement communications | Quantum Health Complete™ offers Member engagement communications |
| Utilization management | Quantum Health Access™ does not offer Utilization management | Quantum Health Complete™ offers Utilization management |
|---|---|---|
| High-cost case review | Quantum Health Access™ does not offer High-cost case review | Quantum Health Complete™ offers High-cost case review |
| Medical appeals coordination | Quantum Health Access™ does not offer Medical appeals coordination | Quantum Health Complete™ offers Medical appeals coordination |
| Case and disease management | Quantum Health Access™ does not offer Case and disease management | Quantum Health Complete™ offers Case and disease management |
| Preadmission and postdischarge planning | Quantum Health Access™ does not offer Preadmission and postdischarge planning | Quantum Health Complete™ offers Preadmission and postdischarge planning |
| Behavioral and mental health support | Quantum Health Access™ does not offer Behavioral and mental health support | Quantum Health Complete™ offers Behavioral and mental health support |
| Prescription and specialty pharmacy management | Quantum Health Access™ does not offer Prescription and specialty pharmacy management | Quantum Health Complete™ offers Prescription and specialty pharmacy management |
| Transplant and oncology management | Quantum Health Access™ does not offer Transplant and oncology management | Quantum Health Complete™ offers Transplant and oncology management |
| Referral and eligibility verification for providers | Quantum Health Access™ does not offer Referral and eligibility verification for providers | Quantum Health Complete™ offers Referral and eligibility verification for providers |
Quantum Health Access™
- Healthcare benefits navigation
- Provider search and guidance
- Claims assistance
- Point solution and community referrals
- Member engagement communications
Quantum Health Complete™
Includes everything from Access plus
- Utilization management
- High-cost case review
- Medical appeals coordination
- Case and disease management
- Preadmission and postdischarge planning
- Behavioral and mental health support
- Prescription and specialty pharmacy management
- Transplant and oncology management
- Referral and eligibility verification for providers
Optimize your healthcare benefits ecosystem
Our configurable options work with — and enhance — your existing benefits ecosystem investments.
- Guide members to specialized benefits
- Tackle the most complex and costly conditions
- Reduce HR workload through strategic integrations with best-in-class partners
Solutions for hospital and health systems
Quantum Health is built to support the unique needs of healthcare systems. We help address critical challenges like reducing clinician burnout, improving domestic steerage and enhancing the employee experience. Give your employees the care they give to everyone else.
Simplified healthcare solutions for the public sector
Quantum Health is dedicated to supporting public sector employees and their families with streamlined benefits and compassionate care. Trust our expertise to address critical healthcare challenges, reduce costs and enhance the overall employee experience. Empower your workforce with the care they deserve while navigating the complexities of healthcare.
Private equity value
Quantum Health helps companies managing portfolios reduce healthcare costs and achieve greater profitability with one simple solution.
