Castlight Boosts Wellbeing Solution with Claims-Based Insights

March 27, 2018

Leveraging its industry-leading claims integrations allows Castlight to deliver more precisely targeted wellbeing navigation

San Francisco – March 27, 2018 – Today, Castlight Health introduced a new capability in its wellbeing product, Wellbeing Navigator, that leverages claims data to deliver more accurate, targeted recommendations to employees. Wellbeing Navigator has long used a number of data sources, such as biometric screenings, self-assessments, and data from ecosystem partners, to help employees connect with the right wellbeing solution to meet their unique health needs. Adding the power of its native medical and pharmacy claims integrations and claims-driven triggers, enables Castlight to deliver more precise recommendations based on the most up-to-date information about an employee’s health.

“By harnessing our insights delivered by claims data, we’re able to offer a new generation of wellbeing program,” said Derek Newell, President at Castlight Health. “With every wellbeing program, navigation is critical. Employees need to be able to find the right solution at the right time that addresses their unique health needs. With this new capability in Wellbeing Navigator, we’re able to make targeted recommendations to employees based on the most accurate, most comprehensive, and most recent information about where they are on their health journey.”

Through Castlight’s relationships with more than 25 major health plans, Wellbeing Navigator is uniquely able to directly integrate claims data daily, providing the most up-to-date and complete picture of employees’ health. Using this data, the Castlight platform provides targeted recommendations to employees for apps, tools, and services that may address a particular health need or further engage them in their own wellbeing, without requiring them to actively participate in biometric screenings or to be fully educated on their own health and self-report through health assessments.

For example, where previously an employee’s annual biometric exam may have revealed a high risk for heart disease, integrated claims data delivers Castlight a provider-validated hypertension diagnosis as soon as the very next day after an employee’s visit to the doctor. With this insight, Castlight can offer employees personalized recommendations for a hypertension program like Livongo, via email or in-app messaging. Using claims data, Castlight can also track how the employee is doing with their condition over time through claims such as whether they have picked up their monthly refill of their hypertension medication.

Importantly, just like the rest of the Castlight platform, Wellbeing Navigator is fully compliant with applicable Health Insurance Portability and Accountability Act (HIPAA) security and administrative rules governing protected health information and has completed an SOC2 audit. Additionally, the Castlight platform does not show employers an individual’s protected health information — rather, employee data is presented in an anonymous and aggregated format within the Castlight platform.

“With more precise recommendations powered by claims data we’re able to drive increased employee engagement throughout our ecosystem of innovative solutions, including resiliency, financial wellbeing, and physical wellbeing programs, such as weight management, activity, sleep, and nutrition,” said Newell. “Ultimately, when employees are empowered with the tools to better manage their health, the result is a happier, healthier workforce.”