IBM Watson Health Solutions for Payers enables health plan providers to uncover key insights to help improve member health and manage costs, and enables employers to deliver the benefits strategy, programs, and tools to empower their employees

IBM United States Software Announcement 218-090
August 7, 2018


Table of contents
OverviewOverviewProgram numberProgram number
Key prerequisitesKey prerequisitesTerms and conditionsTerms and conditions
Planned availability datePlanned availability datePricesPrices
DescriptionDescription


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Overview

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IBM® Watson Health™ Solutions for Payers bring a unique combination of data, analytics, expertise, and AI solutions that empower health plans to transform their business by modernizing their operations and analytic architecture, improving the member experience, and collaborating with healthcare providers and purchasers to advance care. Additionally, Watson Health Solutions for Payers enable human resources professionals at large employer organizations to be more strategic by helping them quickly surface insights from disparate data, delivering specific recommendations to improve benefit and wellness program performance, and assisting employees in optimizing their benefits and care decisions.

The offerings included are available through a Statement of Work in the US only. For more information, contact your IBM representative.



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Key prerequisites

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Not applicable



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Planned availability date

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August 7, 2018



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Description

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Watson Health Solutions for Payers

IBM Advantage Suite transforms, integrates, and enhances data from diverse sources, providing flexible and easy access to enriched information for more informed decision-making. Its powerful applications are linked to an integrated warehouse of medical and prescription claims, encounters, eligibility, absenteeism, lab results, authorizations, health risks assessments, and performance measures.

IBM Flexible Analytics for Payers provides an integrated, analytic foundation between a data warehouse and a front-end business intelligence system to help health plan providers address critical information needs and generate action-driving insights. This is accomplished by supporting reduced complexity and faster access to data for analysis.

IBM Benefit Modeler helps employers, health plan providers, and benefits consultants answer critical benefit plan design questions by evaluating a broad range of plan types to align selections with corporate goals.

IBM Length of Stay Benchmarks lets managed care companies, third-party administrators, and Medicare and Medicaid providers compare their actual hospital length of stay with regional, national, and patient-specific benchmarks based on real experience.

IBM myBenefitsMentor is a web-enabled enrollment decision support tool that provides consumers with information to help them make informed decisions by guiding them to the best-fit plan for their needs. Information is customized to each consumer's personal situation using historical claims, and delivers personalized, data-driven plan recommendations using IBM Watson® Assistant. Consumers can interact with Watson™ Assistant to explore and refine initial plan recommendations, compare plans, and more.

IBM Reimbursement Benchmarks is a proprietary model that calculates benchmarks for specific procedures or diagnoses, using IBM MarketScan commercial claims data, including eligible charges and payments for both the professional and facility components. The reimbursement benchmarks are based upon national regression model estimates that adjust to the local geographic area, and can be used as a standard of measurement.

IBM Treatment Cost Calculator provides price transparency by helping providers clarify expected treatment costs and supporting heath care consumers in planning for the financial aspects of their healthcare.

DST Health Solutions (DSTHS) CareAnalyzer calculates and reports NCQA Healthcare Effectiveness Data and Information Set performance measures using certified algorithms.



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Reference information

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For more information, see

  • IBM Watson Health Solutions for Providers, Software Announcement 218-089, dated August 7, 2018
  • IBM Watson Health Solutions for Life Sciences, Software Announcement 218-091, dated August 7, 2018
  • IBM Watson Health Solutions for Government Health and Human Services, Software Announcement 218-380, dated August 7, 2018


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Program number

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Not applicable



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Terms and conditions

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Technical support

Technical support is available for these offerings. Fundamental support information may be found in the Payer and Government section of the IBM Watson Health Truven Support website, but some offerings involve specialized support terms or instructions. For specialized support, see the collateral provided to your organization by IBM Service or implementation teams as part of your deployment.



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Prices

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IBM Global Financing

IBM Global Financing offers competitive financing to credit-qualified customers and IBM Business Partners to assist them in acquiring IT solutions. Our offerings include financing for IT acquisition, including hardware, software, and services, from both IBM and other manufacturers or vendors. Offerings (for all customer segments: small, medium, and large enterprise), rates, terms, and availability can vary by country. Contact your local IBM Global Financing organization or go to the IBM Global Financing website for more information.

IBM Global Financing offerings are provided through IBM Credit LLC in the United States and other IBM subsidiaries and divisions worldwide to qualified commercial and government customers. Rates are based on a customer's credit rating, financing terms, offering type, equipment type and options, and may vary by country. Other restrictions may apply. Rates and offerings are subject to change, extension or withdrawal without notice.

Trademarks

Watson Health and Watson are trademarks of IBM Corporation in the United States, other countries, or both.

IBM and IBM Watson are registered trademarks of IBM Corporation in the United States, other countries, or both.

Other company, product, and service names may be trademarks or service marks of others.

Terms of use

IBM products and services which are announced and available in your country can be ordered under the applicable standard agreements, terms, conditions, and prices in effect at the time. IBM reserves the right to modify or withdraw this announcement at any time without notice. This announcement is provided for your information only. Additional terms of use are located at

Terms of use

For the most current information regarding IBM products, consult your IBM representative or reseller, or go to the IBM worldwide contacts page

IBM United States

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