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About

Healthcare Quality Solutions

CHEQS is a business borne from passion for healthcare improvement; connections to innovators; and a vision to improve population health by delivering productive and scalable healthcare innovations to markets.

Why don’t promising health and benefits technologies succeed? Experts agree that DISTRIBUTION FAILURES are the #1 reason that health care innovation trails other industries on the technology adoption curve.

Dave Brown and the CHEQs collaborators and partners apply decades of benefits expertise to identify and distribute superior health benefit innovations — for prescription drug management, sleep care, wellbeing and hearing care. Our portfolio features tools that are engaging, easily integrated and offer proven, replicable results. We extend your reach – and enhance the daily lives of your clients’ participants.

We understand the practical realities of making benefit changes of any kind.
That’s why our tools are easy to implement and manage – they are:


Validated as effective


Modern yet
simple


Embraced by employees


No net added
cost

Sustainable cost-containment levers

Integrated with little or no administration


Tangible benefit differentiators


New Revenue Streams!

All innovations are not created equal. CHEQS’ solutions add demonstrated value across these multiple dimensions.

Removing
Costs

Extract costs from the system – not just shift them

Improving
Quality

Measure care improvements and achieve better member treatment compliance

Enhancing Consumer Experience

– Educate, engage, navigate and save

WHY CHEQS?

CHEQS UNDERSTANDS HOW MARKET FORCES WORK – AND HOW OUR SOLUTIONS FIT!

Change is an accelerating inescapable force – just like gravity! So the goal at CHEQS is to empower users to “win” on the dimensions of healthcare change we touch. Consumers/clients touched by CHEQS experience better outcomes and save money; plan sponsors act as transparent and prudent stewards of resources and advocates for positive change; medical providers use technology for “operating” leverage and informed decision making.

CARE INNOVATION

Demand for healthcare and benefits innovation/change is at unprecedented levels. All players in the ecosystem are asked to deliver more – with the consumers as the focal point, delivering high-value care “their way” – hands on, telemed, or online. With new technology-driven devices, drugs and processes.

METHODOLOGY

CHEQS’ Service Partners deliver vetted solutions in their respective market areas. Focused initiatives for sleep, hearing, self-health, pharmacy consumption. Not silver bullets – but levers that consistently perform beyond expectations.

GOVERNMENT IN HEALTHCARE

It’s safe to predict that government-managed healthcare will look much different – and relatively soon. Tighter spending boundaries are being imposed on the Medicare and Medicaid systems — providers must adapt. That usually means that the commercial sector must pick up the provider revenue slack to ensure marketplace access to care. This “cost-shift” already represents more than 1/3 of today’s commercial plan costs – and no one is forecasting that it will shrink.

COMMERCIAL MARKET EVOLUTION

The commercial marketplace is leading reform initiatives such as centers of excellence, tele- and online care, bundled payments, pricing transparency & network alternatives, advanced data analytics, and mobile communications. Plan sponsors can gain critical care delivery and cost advantages by highlighting their use within their covered populations.

BIG DATA/ARTIFICIAL INTELLIGENCE

For decades, healthcare trailed other industries in the adoption and integrated use of data systems. Development money and public demand have pushed the industry to catch up. It’s a crowded and fragmented marketplace now – market winners will have to securely manage ever-wider data spectrums and deliver action-able data on demand.

OPACITY/LACK OF COST TRANSPARENCY

Affects all care, especially hospital and Rx. Incumbent interests resist it. When there’s a 10x difference between low-cost and high-cost drugs in the same therapeutic class covered by PBMs, it’s time to ask, “What are they hiding?”

Service Partners

TRAFFK

Traffk is the next-generation underwriting and risk management platform optimized for the insurance industry.

Traffk modernizes legacy business processes with cloud-based technology and data-driven approaches. Traffk helps clients access and mine data relevant to their business to attain higher profitability, improved operational efficiencies, and adoption of data-driven strategies.

Traffk’s Risk-Modeling-as-a-Platform (RMaaP) leverages the power of multi-variant analysis via data science and machine learning with “plug & play” risk modeling and methodologies that actuaries and underwriters can implement to achieve improved market results.

FOR RISK BEARERS/ADVISERS (INSURERS, TRUSTS, ACTUARIES, ETC.):


Securely ingest new data sources


Use AI & curated risk libraries to understand population risk factors


Make better informed decisions – competitive pricing and terms


Measure results of new product/pricing features

BENEFLOW

Beneflow, the next-generation data-driven benefits personalization platform built on Traffk’s underwriting and risk management platform optimized for the insurance industry.


Member health plan resource & navigation app


Store ID card on mobile device


ID & Access best in class providers


Display plan designs & claim accumulators


Optimize Rx benefit plan features


Plan sponsor / vendor messaging

ORCHESTRA Rx

CONSUMER DRIVEN PHARMACY BENEFIT SOLUTIONS

FOR PLAN SPONSORS:

10-25% savings for the same formulary and plan design

“True” cost– 100% contracted pass-through price

Reference-based pricing techniques save 10-35% where used – no need to change PBM!​

Innovative plan designs drive cost-effective consumer behavior


Rebate bank – point of sale option

Vast array of targeted defined contribution designs​


Electronically-auditable 24/7

FOR EMPLOYEES:

69,000 pharmacies (Walgreens, Kroger’s, CVS, Safeway, Rite-Aid, Albertson’s, Costco)


Employee savings from innovative plan designs


“Condition-specific designs” for brand/specialty savings


Mobile app technology: know Rx drug/dose & copay in advance​

Fusion Health

SLEEP — RECOVER — PERFORM

UNRESTED EMPLOYEES CAUSE:


Workplace accidents – 2.8x more frequent​


Extended leave – 2.2x more often


Productivity loss – up to 50%


Sick days – 2.4x higher

40% of Adult Workforce is Not Sleeping Well & have 3.6 Higher Medical Claims

FUSION HEALTH HELPS EMPLOYERS:

Lowers costs through pre-priced, severity-adjusted service bundles​

More attentive and productive employees with better decision making


Lower claims and stop-loss expense


Patient telemed engagement at over 90% daily

me you health

success through social engagement

FOR PLAN SPONSORS:


Optimized for any group size

Save 33%-50% on wellness vendor costs

After initial payroll link, platform needs employer attention only once a year​


75% of employees engaged because they love it

FOR EMPLOYEES:


Employee engagement is 2 to 3 times higher


Clinically proven programs for walking, smoking & lifestyle


Appeals to all types & sizes of employer

Robust communities and social engagement, not limited to co-workers

VHS – Virtual Hearing Solutions

app-enabled hearing care

BENEFITS TO PATIENT:


Free online hearing exam

50%-80% savings on hearing aids – now available over the counter!


Top tier products at fixed prices


Active Customer Service – phone & online​


IOS and Android apps for real-time consumer test/buy

FOR EMPLOYERS:


No cost, administration, or eligibility

Meaningful response to unmet health & safety need (workers compensation, disability, accidents)


Robust non-ERISA commissions for referrals to traditional groups & other entities

40 million Americans need hearing aids & only 14% can afford them*

*Hearing Loss Association of America (HLAA)

Markets

Cheqs serves various markets:

Benefit Plan Sponsors

Advisors

Payers

Contact

Lets Make Some Deals!

DAVID BROWN

Tel.: (510) 816-7933

DAVE@CHEQS.HEALTHCARE

davecheqs.youcanbook.me

ASK ME ABOUT OPPORTUNITIES FOR:
PRIVATE LABEL TPA WITH AGGRESSIVE COST MANAGEMENT
CONSUMER MEDICAL PLAN NAVIGATION APP
REFERENCE BASED OR DIRECT EMPLOYER – HEALTH SYSTEM CONTRACTING