Services and Benefits

What We Bring to the Table

Forming a joint venture with Emergient offers health plans immediate access to a comprehensive suite of products, services and processes created for superior MA plan management. Emergient will handle the management of plan operations and the technical infrastructure through our established technology and service vendor relationships. 

The full suite of back-end solution that Emergient is equipped to support includes: 

• Plan Administration
• Enrollment/Claims/Billing 
• Risk Adjustment and Management
• Performance, Quality and Stars Management
• Targeted Member Acquisition
• Customer Service
• Health Management and Provider Coordination
• Strategic Guidance 

Benefits to the Partner Plan

Emergient offers its joint venture partners Medicare Advantage Prescription Drug Coverage products for groups, PPOs, and HMOs. Working side-by-side with trusted vendors, we deliver end-to-end solutions designed specifically for Medicare Advantage plans such as administrative, risk adjustment, and quality solutions.

Joint Governance & Ownership

We provide support for both start-ups and established plans to share oversight of operational, plan, and financial performance.

Risk Sharing

Through the joint venture model, ongoing costs, incentives, oversight, and business risk are shared between the partner plans. 

Expedites Time-To-Market

Generate faster market penetration through joint marketing efforts and eliminate common start-up challenges by leveraging our expertise, proven technology platforms, and deployment strategies.

Leverage Established Reputation

Leverage our team of industry experts, trusted partners, and institutional knowledge to operate efficiently, get a higher rate of return, and attain higher quality ratings.

Continued Innovation and Pilot Programs

As other areas of the enterprise develop new tools and solutions for the MA market, we look to test and pilot them with our joint venture partners.