Stay Compliant and Accelerate Growth
Government-Sponsored Health Plans
Streamline operations across Medicare Advantage,
multi-state Medicaid, and Dual-Eligible plans with an automated, efficient platform.
Addressing Core Challenges
Navigate the Competitive and Highly-Regulated Landscape
Stay ahead in a fiercely competitive market with streamlined operations and speed to market.
Save time and resources with a single source of truth and automation.
Stay compliant and meet deadlines with a Medicare-ready solution.
Respond swiftly to regulatory and market changes with a flexible and self-service platform.
Efficient Solutions to Solve Administrative Pain Points and Enable Growth
Single Source of Truth:
Consolidate all medicare-covered standard benefit, cost-share, and supplemental benefit data into a centralized location to ensure accuracy, save time, and support growth.
Template-Driven Document Generation:
Auto-generate compliant SBs, ANOCs, and EOCs on time utlizing pre-built templates embedded with CMS rules.
HPMS Integration for Medicare Advantage Bid Filing:
Seamlessly integrate with HPMS to accelerate compliant PBP bid submissions (including VBID).
Medicare-Ready Platform:
Implement 90% faster with standard MA data, validation rules, and plan year model documents ready out-of-the-box.
Innovate and Optimize
A Simple Solution to Complex Healthcare Challenges
Resource Overload
Establish a single source of truth through automation and built-in efficiencies that streamline processes and reduce workload.
Accuracy and Compliance
Utilize pre-loaded, standardized Medicare-covered benefit data, enhanced with automation and integrated compliance validations, to ensure precise management of benefits and documents.
Managing Last-Minute
CMS Changes
Embrace a self-service model featuring automation and efficiencies like bulk editing, giving you full control to swiftly adapt without vendor dependency to ensure deadlines are met.
Navigating a
Competitive Market
Achieve faster speed-to-market with innovative plans and benefit packages tailored to member needs, coupled with enhanced insights into competitor strategies, ensuring your offerings are both competitive and compliant.
One Platform, Multiple Markets
Solutions for
Every Member
Medicare Advantage
Centralize data into a single source of truth, create market-driven products, accelerate accurate bid submissions, and ensure compliance with SBs, EOCs, ANOCs, and other documents.
Medicaid
Simplify document management across multiple states and accelerate document turnaround times with a template-driven platform.
Dual Eligibles
Manage complex benefit packages with ease, offer flexibility in customization and communication, and ensure compliance and member satisfaction.
Driving Industry Standards
How Health Plans Achieve More with HighRoads
Document Generation:
Automate and accelerate the creation of accurate compliant documents.
Customization
Manage supplemental benefits with automation so you can customize for your Senior members’ needs while staying compliant.
PBP Bid Filing:
Easily create and file with HPMS using a Medicare-ready integrated solution.
Managing Complex Benefit Structures:
Flexibility to support increasingly complex and diverse benefit combinations (i.e. DSNPs) with more efficiency, accuracy, and speed.
OUR RESOURCES
See what our P2A Platform has done for Government‑Sponsored Health Plans across the country.
How Health Plans Can Embrace Consumerism to Drive Sustainable Growth
