Today's healthcare payment ecosystem creates confusion by distancing self-insured employers from their claims data. By enabling employers to view, understand, and intervene in their claims data for the very first time, 4C Health Solutions provides an immediate path to value while unleashing a whole new era of transparency in healthcare payments.
4C has the only complete suite of solutions created to break through the utter chaos of today's healthcare payment ecosystem, empowering self-insured employers to eliminate claims data silos and activate change. 4Clarity harmonizes historical data from siloed claim lines in a single view spanning healthcare's major cost drivers.
4C has the only complete suite of solutions created to break through the utter chaos of today's healthcare payment ecosystem, empowering self-insured employers to eliminate claims data silos and activate change. 4Clarity harmonizes historical data from siloed claim lines in a single view spanning healthcare's major cost drivers.
Services
4C was formed by respected leaders and experts in healthcare, technology, and government to focus on addressing an ineffective healthcare payment ecosystem and to provide actionable solutions for the key cost drivers of care.
4C provides independent oversight of healthcare vendors using powerful analytic tools that self-insured employers need to retrospectively recoup millions of dollars in improper payments and proactively gain control of healthcare costs and spending.4C Health Solutions consistently delivers to clients industry-defining technology and world-class service in our quest to end the legacy of healthcare fraud and inefficiency.
4C provides independent oversight of healthcare vendors using powerful analytic tools that self-insured employers need to retrospectively recoup millions of dollars in improper payments and proactively gain control of healthcare costs and spending.4C Health Solutions consistently delivers to clients industry-defining technology and world-class service in our quest to end the legacy of healthcare fraud and inefficiency.
Tell us a little more about yourself and a member of our team will be in touch within 1 business day. How do you feel about the continuous rise of health care costs? 4C Health Solutions empowers self-insured employers with cost management and quality tools that provide the necessary insights to activate change.
A C-Suite executive wouldn't keep his job if he knowingly allowed costs to increase 10% without accountability. Yet up to 10% of healthcare spend, or $200 billion, is lost to fraud each year, with only $15 billion reclaimed since 2009.
4C breaks the destructive pattern of healthcare fraud, waste, and abuse by providing self-insured employers an unprecedented level of insight into their claims data, along with the ability to affect change co-adjudication, pre-payment.That means employers can flag potentially fraudulent claims when they are made and preempt payment before funds become nearly irrecoverable.
4C breaks the destructive pattern of healthcare fraud, waste, and abuse by providing self-insured employers an unprecedented level of insight into their claims data, along with the ability to affect change co-adjudication, pre-payment.That means employers can flag potentially fraudulent claims when they are made and preempt payment before funds become nearly irrecoverable.
It is important to remember that fraud, waste, and abuse is not a one-dimensional issue, so rectifying the problem requires a multi-dimensional answer. For the first time, 4C enables self-insured employers to identify suspect claims, and quantify their plan's aggregate fraud, waste, and abuse. By identifying repeat offenders, 4C provides employers the information they need to rid their networks of bad actors for good.
4C enables employers to verify that every out of network claim corresponds to out of network care, and quantify total out of network spend. By providing employers the insights needed to educate members on the cost of out of network care, 4C supports the overall reduction of out of network usage.
By scoring providers by popularity and performance, 4C empowers employers to eliminate low-performing providers and bring in those with superior accountability and outcomes.4C provides employers critical visibility into how their providers and rates stack up to other businesses and industry benchmarks, allowing them to better optimize their network design.
By scoring providers by popularity and performance, 4C empowers employers to eliminate low-performing providers and bring in those with superior accountability and outcomes.4C provides employers critical visibility into how their providers and rates stack up to other businesses and industry benchmarks, allowing them to better optimize their network design.
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