ProviderActive

Healthcare is a trillion-dollar industry without a data backbone, dependent on faxes.

Healthcare spending on technology both for payers,  providers, and government systems must and will only continue to increase, with all of this spending focused on expanding existing crumbling data infrastructures specific to each organization.  ProviderActive becomes the bridge between these systems, while also standing as a bulwark to existing and new solutions.

ProviderActive transforms managed care (health insurance-driven care) into intuitive processes through seamless systems integration, virtually eliminating:

• Waiting for Approval

• Denied Claims

• Pharmacy Surprises

• Surprise Healthcare Bills

• Confusing Healthcare Coverage

ProviderActive is a SaaS solution interconnected medical and managed care (health insurance) services.  Focusing on the complex and diverse data and process interchanges between healthcare systems, streamlining operations, centralizing data, and driving down healthcare costs.  ProviderActive transforms managed care into a dynamic business actively responding to the needs of payors, providers, and members.

Searching for a Solution

The inability of healthcare organizations to access or assemble comprehensive data drives up the cost of care, delays treatment, and further complicates managed care operations.  The healthcare data swamp is the culmination of duplicative, incomplete, and incongruent data siloed within systems across the industry and unable to deliver comprehensive and cohesive medical or manage care information.

ProviderActive transforms healthcare data into accurate, comprehensive, and contextual data, which is the foundation for meaningful and actionable information.  ProviderActive's capabilities and AtomicO8's market position is filling the space between medical services and managed care operations.  ProviderActive adding both healthcare's data and operations fracture at the industry level brings resources back to patient care.

Market Position

ProviderActive's market position is the space between payors and providers, where managed care and the delivery of medical services intersect.  A healthcare data backbone, ProviderActive, interconnects the systems, and resources between payors and providers.  Sold to payors as a subscription SaaS solution, then distributed across their provider networks.  ProviderActive transforms healthcare data from a passive asset into an active resource that responds to payors, providers, and members with real-time information and intuitive Ai driven operations through seamlessly integrated solutions with existing healthcare systems.

Understanding Care & Managed Care

The leadership of AtomicO8 brings unique and extensive experience working with both payors and providers across various enterprise initiatives.  ProviderActive's architecture is designed on a deep understanding of the challenges, needs, and constraints of both payors and providers with a focus on integration with both systems and business operations.  AtomicO8's business-focused design of ProviderActive with a focus on integration with existing systems, complimenting business operations and preventing expensive re-investment in new technology.  The delicacy of the healthcare system highlight by Covid-19 demonstrates the demand for dramatic and extensive improvement without destabilization of what already exists.  ProviderActive gives payors, providers, administrators, investors, regulators deep insight to stop the hemorrhaging of today's healthcare systems with hospitals closing and prohibitive healthcare costs.  AtomicO8's understanding of managed is two-sided with one being medical services and the other managed care, and both necessary for either to exist.

Context / Meaning / Intersection

Healthcare is contextual with information giving meaning to information, exemplified when an individual's medical history provides context to help with diagnosis.  ProviderActive's data and process management services are not isolated functions; they are contextual operations.  Every action, services, and process across ProviderActive are interdependent, as is everything in medical and managed care.  Ai driven services such as graph relationship building, BPM identification, and deep analytics are persistent functions across the entire data landscape.

ProviderActive uses the data context created by graph relationships to identify and traverse all the medical and managed care events starting with a single diagnosis.  Intersections are points where medical and managed care services intersect, and from any single point (claim, diagnosis, Rx, etc.), users and systems can traverse healthcare supply chains.  ProviderActive's identification of data intersections in real-time continues to transform medicine and managed care, going past customized services into contextual operations driven by intersections.

ROI's & Profitability

ProviderActive is a SaaS subscription service purchased by payors at a fixed rate through the length of the contract.  The pricing disciple eliminates “up-charging” typically with healthcare IT projects and a source of contention with IT executives.  AtomicO8’s flat fixed monthly pricing model eases entry to market barriers by enabling payors to calculate accurate ROI by eliminating budget over-runs.  While AtomicO8 maintains fixed pricing, the financial model outline in the business plan delivers 12.4% ($17m) net profitability after 3 years of operations.  The fixed pricing structure calculated against the number of members within the serviced network gives payors multiple instant cost recuperation methods before ROI realization.