SmartShopper® – Healthcare Rewards Platform

Managing healthcare today can be a hassle and confusing for healthcare consumers. With costs ever-increasing and a myriad of resources available, consumers need a clear direction on where to go to get help.

At Zelis, we have found that the integration of technology and human compassion is essential for creating a clear, supportive and trustworthy user experience.

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Features

Features of Our Healthcare Rewards Solution

Bring quality to the forefront by recommending providers

Members have access to best-in-class quality ratings, improving member confidence in choosing their care. The rewards solution highlights centers of excellence for surgical care, PCPs and specialists based on clinically backed quality measurements.

Customize the experience with personalized messaging

Zelis enhances the member experience by offering personalized care recommendation, smart landing pages, a personalized activities console, and targeted outreach through our Activate enhancement, effectively engaging your members to make the most of the information at their fingertips.

Make virtual care accessible

Help members get the best care with virtual care integration, creating a digital front door for members when care is needed most.

Easily explain the expected cost of care

Help your members easily compare healthcare cost options. All the information they need is available through a single dashboard that is integrated with your member portal.

Power your solutions with flexible delivery

Power your platform with our APIs, including integrated cost and rewards data, as well as an option to include your member benefits data. This way consumers have all the information needed to make the best choice.

Provide comprehensive member support services

Humanize healthcare with our care coordination service, the Care Concierge Team. This white-glove experience helps with everything from scheduling, pre-authorizations and answering questions about the SmartShopper solution.

2024 Performance Report

How Our Healthcare Members Rewards Solution Delivered Savings in 2024

SmartShopper® provided $83 million in savings for plan sponsors with a 3:1 program ROI. Over $9.7 million in cash rewards has been passed over to members in 2024. Download the new Performance and Savings Report to see how engagement strategies and Care Concierge support encouraged preventative care, reducing cumulative healthcare costs.

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Care Concierge Team Highlight

Our Care Concierge Team (CCT) provides personalized support so members can navigate their healthcare options and make informed decisions. The CCT offers personalized guidance to ensure members receive the best possible care.

The Care Concierge Team can help with:

Program education and navigation
Shopping for high-quality, cost-effective facilities
Updating orders, authorizations, and scheduling
Researching rewards, member eligibility, and member requests.

Watch the videos to see how we are pairing user-friendly technology with compassionate care finding to make sure that members have the best experience available.

This is my first experience with SmartShopper and was greeted by Shannon, a member of the Care Concierge Team, who was a tremendous assistance. My first experience has been a pleasure!

Charlotte , SmartShopper® Member from Rochester, NH

Laura, SmartShopper® Member from Nashville, TN

Susan and Tom, SmartShopper® Members from Charlotte, NC

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Let’s talk about modernizing your business.

There’s no shortage of ways we can help. Get a conversation going with one of our Solution Advisors and build a thoughtful approach aligned to your business goals.

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Solution

S365: Individual-Carrier Provider Directory

Give your members an easy way to find care and understand costs through personalized search, showing members the best care options curated just for them.