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About

Healthcare Quality Solutions

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.

CHEQS deploys decades of experience and resources that deliver results today.

Remove Costs

Remove costs from the system – not just shift them

Improve Quality

Measure care improvements and achieve better member treatment compliance

Enhance Experience

Enhance the consumer experience – educate, engage, navigate and save

WHY CHEQS?

INNOVATION

healthcare and benefits innovation demand are at unprecedented levels

METHODOLOGY

spending boundaries are being introduced to the Medicare system — providers must adapt and Cheqs can help

MEDICAID CHANGES

the current Administration is initiating major changes in Medicaid funding, which will increase the cost shifting pressures on commercial markets

MARKET EVOLUTION

plan sponsors can gain care delivery and cost advantages using services such as bundled payment, reference-based pricing, advanced data analytics, and mobile communications.

COMMERCIAL MARKET

in response the commercial insurance market is demanding and achieving meaningful improvements in cost management, quality care and consumer engagement

FLEXIBILITY

sophisticated and flexible solutions that anticipate major change can be delivered now

Clients

TRAFFK

Insurance Underwriting and
Risk Management Platform

ORCHESTRA Rx

Pharmacy
Benefit Manager

Translates an exceptional range of data into custom risk indexes for populations or cohorts

Risk Indexes redefine formula underwriting (coverage and base price) and inform competitive decisions​

1st consumer directed pharmacy benefit manager – drives smarter/higher value buying

100% transparency – ALL pharma-derived revenue inures to client – 100% auditable and visible rebate accrual​

Individual security definitions enable multiple users from different contracted entities​

Facilitates multi-variable analyses using machine learning techniques​

Innovative defined contribution designs for HSA and other cost-conscious plan sponsors​

Specialty procurement and delivery advantages that integrate with plan designs

Built-in CRM improves messaging and engagement efficiency

Consumer-facing education/navigation mobile app coming soon

Drug and care data integration with Traffk

90-day retail for maintenance drugs improves pharmacist involvement & patient convenience​


Over time, CHEQS will add other services that meet our 3 criteria for cost, quality and patient care.

HOW DO CHEQS’ SERVICE PARTNERS MEASURE UP?

TRAFFK

IMPROVE QUALITY

  • Identifies care gaps by cohort or individual for data-driven action
  • Integrated messaging ensures full available data views

REMOVE COST

  • IDs plan sponsor savings opportunities – quantity & price
  • Integrated messaging reduces care management communication expense

ENHANCE EXPERIENCE

  • Consumer reference portal
  • More effective care counseling
ORCHESTRA Rx
  • Better patient compliance – chronic & specialty
  • Focus on pharmacist relationship
  • Right drug, right time
  • All rebates $ to client
  • No ingredient markups
  • Lower dispensing fees
  • Avoid waste with condition management
  • Retail pharmacist a better resource – includes proper admin of specialty meds
  • Consumer App – enables timely collaboration with physician about generic alternatives, etc.
  • Retail convenience & pharmacist professional guidance

Markets

Cheqs serves various markets:

Benefit Plan Sponsors

Advisors

Payers

Contact

Lets Make Some Deals!

DAVID BROWN

Tel.: (510) 816-7933

DAVE@CHEQS.HEALTHCARE