UPMC is continuing efforts to invest in information technology initiatives, forming a strategic partnership with a software and services company that provides products for the health insurance industry.

UPMC said it expects to work with Cavulus to enable the Hilton Head, S.C.-based company to provide insights and development assistance for the growth of its cloud-based technology.

Serving more than 35 health plans across the country, including UPMC Health Plan, Cavulus’ solutions help insurance companies automate marketing, sales, enrollment, retention and compliance operations, primarily in the Medicare Advantage market.

UPMC Presbyterian  Hospital
UPMC Presbyterian Hospital

Cavulus’ predictive modeling and data analytics tools have enabled its clients to increase membership 20 percent faster than the Medicare Advantage industry average during the past five years.

“We share UPMC’s vision of consumer-centered, affordable healthcare, driven by innovation and technology,” said Patrick Phillips, CEO of Cavulus. “As a strategic partner and customer, UPMC will provide Cavulus with the expertise that we need to expand our products and services, particularly to meet the needs of the Health Insurance Exchange market.”

The UPMC Health Plan has been a Cavulus customer for three years to support member acquisition for its Medicare Advantage business, which now has more than 134,000 members. “We continue to be impressed with the extensive knowledge that the Cavulus team brings to the table in a complex, highly regulated and very competitive business,” said Mary Beth Jenkins, senior vice president and chief operating officer for the UPMC Health Plan.

“Like other partners of UPMC Enterprises, Cavulus can accelerate its growth and reduce its risks by working closely with one of the nation’s leading integrated healthcare delivery and financing systems,” said Tal Heppenstall, president of UPMC Enterprises, the commercialization arm of UPMC that led the agreement.

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