Enabling Affordable, High-Quality Care for Members

H1 Partners with Rightway on custom data integration

The U.S. healthcare system is highly complex, making it difficult and sometimes overwhelming for the average patient to navigate. Finding the right provider can quickly become a frustrating experience. Most of us want to see not only a high-quality doctor, but also one who is available to see patients without a lengthy wait and whose practice is affordable.

Rightway, a leading care navigation and pharmacy benefit manager (PBM), set out to simplify the process of finding the right doctors for its clients and members. Rightway works with companies to connect their employees to live, clinical experts to help answer their questions and guide them to the best care options.

In order to successfully deliver on this need, H1 needed to build an infrastructure that not only supplies accurate provider information but that also prioritizes Rightway’s preferred healthcare professionals.

Bringing the Vision to Life: A Concierge Healthcare Experience

When Rightway launched in 2017, its aim was to empower members to connect with their health guides to find quality, low-cost care. To achieve this, they needed to select a data technology partner to supply accuracy-scored provider data via API to power these care searches.

This required a strong infrastructure containing comprehensive, accurate, and up-to-date provider data. H1’s directory includes 99% of healthcare providers and facilities in the U.S. Through H1, Rightway’s members can access essential information like a provider’s phone number or address, the insurance plans they accept, their average cost and quality, and much more.

"By partnering with [H1], our team can leverage a single tool to identify provider network status when Rightway Health Guides assist members in finding care options. [H1]’s flexibility allows us to personalize the dataset for our operations and client needs."

How Data Delivers Reduced Costs and a Positive Member Experience

When technology is applied thoughtfully, the outcomes it drives can benefit everyone. Not only are Rightway’s members able to more easily and quickly find care that works for them, but the flexibility to create custom networks lowers costs for Rightway at the same time.

By applying custom logic to bespoke provider rosters, H1 ensures that the top providers surfaced for guides and members align with the health system’s preferences. Identifying tier 1 providers first in the search results helps to keep costs down for everyone.

We spoke with Matson Conrad, Sr. Manager of Partnerships at Rightway, to find out how their partnership with H1 has facilitated their goals. “Health systems typically want their employees to seek care with their own providers and at their own facilities to minimize leakage to competitive providers,” said Conrad.

“[H1]’s ability to customize networks helps Rightway to improve care access by guiding members to high-quality care while realizing the benefit team goals to maximize engagement with their preferred providers and facilities.”

The Right Tools Yield Powerful Results

H1 and Rightway’s partnership has led to robust, quantifiable outcomes benefitting both the health system and its members:

If you’re interested in seeing how H1’s industry-leading data insights can support your needs, request a demo here.