The startup provides customized healthcare management solutions for managed care organizations through clinically-focused interventions that enhance patient outcomes. By implementing targeted strategies, the company enables clients to achieve growth while effectively reducing healthcare costs.
Funding
$188.1M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Managed care organizations face challenges in providing comprehensive supplemental benefits and managing diverse member needs, leading to difficulties in improving health outcomes and reducing costs effectively. Traditional methods often lack the personalization and integrated technology needed to address social determinants of health and enhance member engagement.
Solution
NationsBenefits offers a technology-driven platform that enables managed care organizations to provide customized healthcare solutions, manage supplemental benefits, and improve member outcomes. The platform integrates a range of benefits, including flex cards, over-the-counter products, hearing and vision care, transportation, nutrition support, and wellness programs, all accessible through a unified portal and mobile app. By leveraging advanced analytics, AI-driven personalization, and a comprehensive retail network, NationsBenefits facilitates seamless access to essential resources, promotes proactive health management, and enhances member satisfaction. The platform's fintech solutions ensure secure and compliant transactions, while its basket adjudication service allows for real-time validation of eligible purchases at point-of-sale.
Target Audience
NationsBenefits primarily serves managed care organizations seeking to enhance their supplemental benefits offerings, improve member engagement, and drive better health outcomes, as well as health plan members who benefit from streamlined access to a wide range of healthcare and wellness resources.
Features
- Benefits Pro™ Portal and App: A unified platform for members to manage and utilize all benefits in a single user experience.
- Flex Card: A customizable card for multi-purse benefit management with item and service-level restrictions.
- Nations Marketplace: Same-day delivery of groceries, fresh produce, and OTC essentials from a nationwide network of vendors.
- Health Assistant AI: Personalized advice and recommendations powered by an integrated artificial intelligence.
- Config Pro: A program configuration tool to ensure seamless benefit setup and implementation.
- Benefits CRM: A custom-built CRM that centralizes all member benefits for efficient member support.
- NationsBenefits POS™: A proprietary point-of-sale device that enables independent retailers to accept Flex Card payments.
- Basket Adjudication Service: A solution to validate and allocate benefits on retail purchases in real-time.
- NationsHearing: Comprehensive hearing health solution with access to a nationwide network of providers and hearing aids from major manufacturers.
- NationsTransport: Customizable transportation benefit with self-service tools and a reliable provider network for non-emergency medical transportation.
- NationsNutrition: Personalized Food is Medicine solutions, including medically tailored meals and nutrition coaching.
- NationsWellness: Customized kits and smart devices to promote healthy habits and increase brand loyalty.