All of the approaches to healthcare reform — Exchanges, Co-ops, Associations or Voluntary Employee Benefits Associations (VEBAs) — face the same challenges: how to engage members and control costs.

The HealthSight platform allows true member self-management — providing the financial transparency and context necessary to allow group members to understand the group's spending, which in turn allows the group as a whole to make decisions about plan design and even in-year plan changes to meet their budget.

Adjudica believes that member self-management will be the critical element that will "bend the curve" to control healthcare costs.  Making members aware of the group spending and projected impact on their budget and coverage on a monthly basis gets people’s attention.  This financial awareness becomes a starting point for engagement, for getting people to lead healthier lives and focus on getting the best value for their healthcare dollar.

Self-management also provides the vehicle for broader discussions about healthcare and coverage.  Healthcare coverage involves trade-offs - a plan can't afford to cover everything.  Members of a self-managed plan will understand that they are spending their own money and if costs go up they will have to make up the difference.  This financial awareness becomes a reference point for conversations about the future of the health plan.

Adjudica’s HealthSight platform provides the critical financial transparency and engagement tools that support the goals of healthcare reform strategies.