Every organization we serve
carries a different kind of pressure.
We're built for all of them.
Health plans, providers, and plan administrators face the same broken reality from different angles — fragmented systems, manual workflows, and populations that fall through the cracks. Mpowered Health gives each a KYM-driven platform that turns real-time member and patient intelligence into coordinated action — without replacing the systems they already rely on.
Three core engines
Payers
Health Plans & MSOs · Medicare · Medicaid · Commercial · Exchange
Health plans operate under relentless pressure across every axis. Mpowered replaces disconnected point solutions with a unified platform that turns real-time member intelligence into earlier action, smarter interventions, and leaner operations — without adding administrative burden.
STARs, HEDIS & quality performance
Targeted care gap closure and member engagement programs move quality scores where plans need them most.
MLR & ALR reduction
Reduced over-utilization and operational efficiencies across member services lower both medical and administrative cost ratios.
Grow revenue, control cost,
hit quality targets — at once.
Member retention
Personalized outreach and proactive care coordination improve satisfaction and keep members enrolled longer.
Eligibility & enrollment conversion
Streamlined enrollment workflows improve conversion rates and reduce drop-off across all lines of business.
Risk adjustment
Care gap closure
UM automation
Member engagement
KYM intelligence
Providers
ACOs · Health Systems · Medical Groups · Risk-Bearing Providers
Providers face declining margins, rising acuity, and growing administrative burden — while care leakage and over-utilization erode performance in value-based contracts. Mpowered unifies patient intelligence and automates workflows across care teams so clinical resources stay focused on patients who need them most.
Avoidable readmission reduction
Risk stratification and proactive care coordination reduce ED visits, hospitalizations, and preventable readmissions.
Automated referral intake & eligibility
Fax and email referrals processed automatically with real-time eligibility checks — eliminating lost revenue and manual entry.
Close gaps faster.
Operate smarter under risk.
Value-based performance
Real-time shared savings and downside risk tracking with automated workflows that keep performance programs on track.
Next-gen patient experience
A branded digital patient experience that improves engagement, adherence, and satisfaction across every care touchpoint.
Patient intake automation
EHR integration
Risk stratification
Care coordination
VBC analytics
TPAs & Brokers
Third-Party Administrators & Benefits Advisors · Self-Insured Employers
TPAs and brokers must deliver measurable cost savings for employer clients — with limited infrastructure. Mpowered enables them to move from retrospective reporting to proactive cost management, using KYM-driven insights and automated engagement that employers can see and value at renewal.
Medical cost reduction
Targeted, data-driven interventions that address the specific cost drivers in each employer population.
Utilization management & care navigation
Proactive UM workflows and care navigation programs that reduce unnecessary spend before claims are filed.
Move beyond reporting.
Deliver outcomes employers renew for.
Operational automation
Employee onboarding, prior authorization, stop-loss reporting, and compliance workflows — automated end to end.
Employer retention
Measurable, reportable outcomes that demonstrate ROI and give employers clear reasons to renew.
Population health programs
ROI dashboards
Stop-loss reporting
UM automation
ERISA compliance
↑ STARs
quality performance improvement driven by targeted gap closure
30%
reduction in avoidable ED visits and preventable admissions
3x
faster care gap closure vs. manual outreach workflows
80%
reduction in manual administrative touchpoints across operations