The power of big data - and exclusive access to it - means we can make measurable change in the healthcare landscape.
Who we are
In the current healthcare system, there is a lack of transparency and a misalignment of incentives. Every actor in the system, except those paying the bill - the patient and employers, is incentivized to increase the cost and volume of healthcare services. SEMMA is the bridge between employers and providers giving each better access to providing better care for the patient.
What we do
SEMMA cuts through the obscurity in the system with transparency. Our advanced data analytics platform locates unique opportunities to tackle the issues that create inflated healthcare costs. SEMMA works with our clients and local providers to attack these issues, providing data driven solutions and direct relationships that benefit employers, healthcare providers, and, most importantly, the patient.
Why we do it
Healthcare, at its core, is local. Realizing this, SEMMA works to align employers with local healthcare providers through the power of data. Aligning these two previously disconnected groups, SEMMA can help decrease the overall cost of healthcare.
Employers
SEMMA’s data driven Platform creates transparency and answers necessary questions for employers such as “what’s driving our continued rise in health benefit spend?” “Is our benefits Plan efficient and does it meet our needs?” As well as “what opportunities do we have through Plan design and direct relationships to offer increased access to quality, affordable care at a lower cost?”
Through SEMMA’s analyses and access to our Preferred Provider Partners, we are able to support the achievement of long-term goals, as well as identify actionable insights and data driven opportunities to maximize benefits while reducing overall spend.
Patients
SEMMA’s data driven Platform creates transparency and answers necessary questions for employers such as “what’s driving our continued rise in health benefit spend?” “Is our benefits Plan efficient and does it meet our needs?” As well as “what opportunities do we have through Plan design and direct relationships to offer increased access to quality, affordable care at a lower cost?”
Through SEMMA’s analyses and access to our Preferred Provider Partners, we are able to support the achievement of long-term goals, as well as identify actionable insights and data driven opportunities to maximize benefits while reducing overall spend.
Providers
As the cost of healthcare continues to rise for patients and employers, provider’s reimbursements are decreasing, and administrative burden is at an all time high.
To ease the burden, SEMMA partners with local Providers and creates an exclusive SEMMA fee schedule. By designing the employer’s health benefits Plan to incentivize utilization, the Providers access to patients increases, administrative burden is reduced because the employer pays 100% of the claims, claims are reimbursement faster, direct targeting marketing opportunities are available, and strategic growth opportunities are identified through market share analyses.
Meet the team that is redefining the healthcare system.
SEMMA Health empowers its clients with health benefit intelligence and expertise to bring transparency to the healthcare system.