SIMPLIFY OPERATIONS. MAXIMIZE PERFORMANCE.
Powering End-to-End Health Plan Performance
We offer health plans a single strategic partner accountable for performance across the health plan value chain. Our comprehensive, yet flexible, partnership model delivers the people, technology, and operational support to reduce administrative friction, improve quality and clinical excellence, control costs, and increase member and provider satisfaction.
Your partner for performance
One Partner. One Platform. Total Alignment.
We partner with health plans to address the drivers of poor quality and uncontrolled costs by serving as a single, accountable operating partner responsible for end-to-end health plan performance. Our approach delivers:
- Reduced administrative and clinical operational burden leading to unlocked growth
- Unified data ecosystem in an all-in-one, fully integrated platform that converts analytics into actionable, automated workflows
- Engaged and empowered providers through streamlined processes, care management collaboration, and actionable insights that give providers time back for patient care
- Higher provider and member satisfaction by reducing administrative friction and enabling a more coordinated, connected care experience
Capabilities
Built to Power Health Plan Performance
ARC Platform
- A powerful, integrated platform and analytics workflow engine that delivers data-driven insights to maximize financial, clinical, and provider performance
- Configurable reporting to effectively manage populations, proactively identify clinical intervention opportunities, identify savings and utilization opportunities, and more
- Fragmented data converted into prioritized actions and role-based workflows that teams can run every day
Delegated Oversight and Network Performance
- Two decades of enabling provider success in value-based arrangements
- Performance monitoring and optimization across delegated entities
- Variation, leakage, and utilization visibility
- Provider collaboration routines that drive action and behavior change
Medical Management
- Integrated population health management, care management, and utilization management to drive better health outcomes
- Real-time dashboards and KPI updates to prioritize interventions and drive continuous clinical and performance improvement
- Care planning, outreach, and gap closure workflows to improve quality and drive appropriate utilization
Risk Adjustment Support
- Drive smarter, more targeted interventions across your network
- RAF enablement and documentation integrity to proactively identify, prioritize, and address encounters
- Seamless clinical workflow integration with point-of-care cues and review routines
Quality and Stars Execution
- Measure-by-measure practice transformation and quality improvement playbooks
- Turnkey outreach and gap closure model anchored in AWV and HRA completions
- Identification of practice improvement opportunities and collaborative provider engagement through incentive programs, education initiatives, and actionable workflows
TAKE A TOUR
Experience ARC in Action
Take a tour of our integrated analytics and workflow engine that supports oversight, provider action, and continuous improvement.
Recognition & Accreditation
Client Results
Recent Client Impact
MEET ARCi
Introducing ARCi™, an Agentic AI Suite Built to Improve Quality, Strengthen Financial Performance, and Modernize Member Engagement
ARCi AI agents augment your care teams to reduce burden and create scale by automating routine tasks across the care continuum, allowing staff to focus on higher-value work without adding headcount.
Insights
Helping Healthcare Leaders Navigate a Rapidly Evolving Healthcare Landscape
Browse our library of latest thinking for insights and analysis to guide your value-based care and population health management strategy.
ON-DEMAND WEBINAR
Navigating the Fog: How Health Plans Can Succeed Through Policy and Market Shifts
Health plans are preparing for a volatile stretch ahead. Between shifting federal policy, tightening margins, and rising pressure to modernize operations, leaders need more than predictions. They need a clear understanding of what’s ahead. This webinar brings together experts from COPE Health Solutions, HealthAxis, and Sheppard Mullin to help plan a confident path forward.