New Quantum Health Solution Aims To Provide Employers More Flexibility

Care navigation company Quantum Health announced a new solution Tuesday that will offer more flexibility to employers designing their benefit programs.

Dublin, Ohio-based Quantum Health, founded in 1999, works with self-insured employers to help their employees understand and engage with their health benefits. It serves about 500 employer clients who collectively have approximately 2,000 employees. 

The new solution is called Quantum Health Access, which offers healthcare benefits navigation, provider search, claims assistance, point solution referral and member engagement communications. Its existing solution, Quantum Health Complete, offers the same suite of solutions, as well as care coordination services like utilization management, behavioral health support and disease management.

Quantum Health Access allows the company to offer employers a smaller set of services when they’re not quite ready to take on the full suite that Quantum Health Complete provides, said CEO Zane Burke.

“Our Complete solution, historically speaking, literally replaced your insurance carrier. You hire a [third party administrator], you hire Quantum to do everything else,” Burke said in an interview. “If you are particularly a large self-insured employer, that can be a daunting task … What Access allows us to do is really meet our clients a little bit more where they are. ‘Okay, you’re not ready for the full rip-everybody-out piece, but you want to get the benefits of having a concierge.’”

Employees can access these services through Quantum Health’s app called MyQHealth, which is offered on the Apple app store and Google Play. Or if they prefer, they can call the company to receive the same services over the phone.

Healthcare navigation services are increasingly being sought out by employers, research shows. The 2022 McKinsey Employer Health Benefits Survey discovered that 41% of 1,640 employers already offer or will definitely offer advocacy services, like care navigation, for their workers. These kinds of services are helpful as employers balance multiple things at once, said Mike Sagle, partner at Mercer.

“The challenges for employers today continue to multiply,” Sagle said in a news release. “Flexibility is critical, especially for employers addressing the needs of diverse populations across wide geographic regions. Among many other things, they are juggling multiple plans and carriers, new regulations, new virtual care models, traditional care settings, and a growing list of digital health point solutions. Providing a flexible employee navigation and care coordination experience platform enables them to bring everything together into one simple and effective experience that drives better engagement and results — for both the employer and their employees. This is a significant step for employer benefits navigation options.”

Ultimately, by providing Quantum Health Access, the company hopes to help employers transition away from traditional carriers, but in a way that’s less drastic, Burke said.

“What we’ve really done in Access is peel back a couple of the service offerings that we have and create a [solution] that allows our clients to not have so much disruption all at once.”

Other healthcare navigation companies include Accolade and HealthJoy.

Photo: Quantum Health