Our Solutions
A next-gen platform to help simplify the business of care.
Lyric’s 42 is our next-generation platform that provides health plans with a comprehensive approach to payment integrity, and other capabilities designed to optimize outcomes across the cost-of-care continuum. This transformative, digital-first solution is easily configurable and deployable through a single integration with your core systems.
We're evolving to meet industry imperatives and customers’ needs ensuring unwavering value at every step.
At Lyric, we've created a path to unlock value that focuses on innovation and minimizes spend.
Our platform delivers the advantages of a multi-vendor strategy but with the simplicity of an integrated offering. Your company can use Lyric 42 to deploy a simplified integration to your core systems.
The healthcare industry faces mounting challenges, from soaring costs to complex regulatory requirements and a need for operational efficiency. Health plans are feeling the pressure to adapt to these changes while maintaining a focus on quality care and member satisfaction. Health plan leaders that recognize these demands have an opportunity to participate in revolutionizing the healthcare landscape through a platform delivering a range of capabilities designed to optimize results across critical business functions.
Healthcare spending in the United States has reached $4.7 trillion (about $14,000 per person in the US) in 2023, with projections showing an estimated surge to $7.2 trillion by 2031. While there are a lot of factors that contribute to the rising healthcare costs like an aging population, and growing populations with chronic illnesses and comorbidities, many rising cost contributors can be controlled with operational and digital transformation initiatives. Leading health plans recognize this opportunity and are seeking innovative solutions that can empower plan members to participate in necessary, cost-effective, and high-quality care while ensuring regulatory compliance.
A Platform to Help Simplify the Business of Care
Our platform responds to these needs by providing an integrated set of capabilities that unlock a lot of untapped value for health plans. These capabilities can be organized into solution categories all powered by a set of core platform services. This makes the approach unique and provides secure, scalable, and modern data for future capabilities including those needed for complying with CMS rules and regulations.
The 7 solution categories includes:
Payment Integrity
Driving payment accuracy and integrity resulting in savings up to 8% of annual spend
Claims Adjudication
Improving auto adjudication rates and reducing administrative costs
Utilization Management
Improving member experience and reducing administrative costs
Care and Disease Management
Identifying cost of care saving opportunities before medical services are performed
Clinical Quality
Sharing data and insights to help plans improve clinical quality, care access, health equity, and member experience
Risk Adjustment
Helping plans secure adequate funding to administer member policies
Value Based Care
Increasing transparency and collaboration between providers and payers while helping providers succeed in value-based care arrangements
How to start
Lyric is committed to our customers.
We are your ally in payment accuracy. With a deep understanding of your business objectives, we can provide a tailored approach to unlocking pathways to value. We are committed to achieving continued innovation, and a loyalty to our customers.
