Health Plans

Health plans

Differentiated
health plan member
engagement

Connecting members with the right care at the right time

Offer a standout client and member experience

Castlight brings all your benefits together in one simple, engaging platform—enhancing the member experience and helping you stand out. We also help health plans contain costs by closing care gaps, promoting preventive care, and consolidating operations across all lines of business to reduce administrative expenses.

4.7★

App Store rating

3.5x

Increase in program use

30%

More gaps in care closed

9.1%

Lower medical spend trend year-over-year

Power customized experiences with integrated
digital capabilities

Universal platform

Deliver a cohesive member experience with a white-labeled digital front door.

Streamline benefits offerings across all population cohorts by bringing everything into one platform, eliminating fragmented solutions and ensuring seamless care for all stages of life.

Support carve-outs and non-medically enrolled populations.

Universal platform

Transparency and guidance

Exceed regulatory requirements with a transparency solution powered by industry-leading intelligence.

Guide to high-value care with provider cost, quality, efficiency, location, and patient ratings data.

Incorporate advanced plan designs, like high performance networks (HPNs), centers of excellence (COEs), and onsite clinics.

Help members find and schedule appointments with curated virtual and in-person providers.

Transparency and guidance

Program integrations

Help clients and members easily manage and adopt proven digital health programs.

Implement third-party vendors at scale with 250+ pre-built integrations that support real-time, two-way data exchange.

Support preferred partners through API, SSO, flat files, and embedded platform integration capabilities.

Program integrations

Personalized member experience

Rapidly understand member needs and prioritize next best actions based on robust and diverse data sets.

Engage your full population, including those who experience barriers to care, with proactive, targeted recommendations.

Integrate your rules with Castlight’s and Truven’s algorithms to deploy personalized experiences.

Personalized member experience

Engagement levers

Support member well-being throughout the health journey, whether they’re working to stay active, managing a condition, or seeking care.

Motivate the right behaviors with a robust well-being solution that includes incentives, challenges, community offerings, and more.

Engagement levers
Universal platform
Transparency and guidance
Program integrations
Personalized member experience
Engagement levers

Enhance health plan member services with flexible, high-touch support

Empower your member services team with Castlight’s technology or work with our team of clinical and benefits experts. Together, we’ll connect your members to the right care at the right time.

One-on-one, data-informed guidance

Guide your members to high-quality, cost-effective providers, specialists, labs, and facilities with industry-leading intelligence to inform member interactions.

Tailored communications

Increase program use with proactive, targeted communications to members through their preferred channel—email, phone, or chat.

Proactive outreach to close care gaps

Leverage claims, clinical outcomes, user behavior, and socioeconomic data to identify barriers or gaps in care. Prioritize connecting with members who need the most support.

Expert, whole person support

Access data and clinical expertise to support members with behavioral health, medication management, billing, reimbursement, ER avoidance, and more.

Provide value across your organization’s teams

Commercial

Expand your business and win more clients with flexible solutions built to scale across your lines of coverage, meeting the needs of large, complex customers and unifying digital ecosystems.

Clinical and health services

Help members take the next best step in their care journey with technology that yields insights and data-driven recommendations built for your clinical rules and protocols.

Digital and product

Leverage our technology to strengthen your digital capabilities, enhance your member services, and deliver an engaging, consumer-grade experience.

Ready to get started?

See how we partner with health plans to strengthen your member engagement capabilities, delivering results for your clients, your members, and your bottom line.