Reimagine Health Plans with Member-First Innovation

Transcarent helps health plans boost engagement with consumer-grade experiences for their members. We deliver lower administrative costs and measurable care outcomes through AI-powered navigation that connects everyone to the right care faster.

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Re-engage your members in a digital-first world

AI-powered digital front door

Give your members conversational guidance that understands their plan, network, and benefits—helping them find the right care, fast, with less frustration.

Reduce administrative burden

Streamline vendors and workflows in one connected platform—cutting administrative costs by up to 40% and speeding issue resolution.

Data-driven engagement

Turn fragmented insights into measurable value. Real-time analytics track utilization, cost trends, and satisfaction scores, helping your teams make smarter, faster decisions.

Responsible AI, built for trust

Our technology meets healthcare’s most rigorous standards—HIPAA, SOC 2 Type II, ISO 27001, and HITRUST certified—with built-in safeguards for privacy, bias, and transparency.

You can’t engage your members on a platform they aren’t using

Employers are unifying benefits and choosing partners that deliver connected, digital-first care. Transcarent helps health plans stay ahead with experiences people actually use and love. Choice doesn't disengage your members. They’re waiting for a simpler way to get answers, take action, and get care. Closing the engagement gap doesn’t require rebuilding your platform—it means powering it with experiences your members already trust.

What health plans are up against

Of their members report no engagement with their health plan¹

Of adults skip or delay care due to access barriers¹

Of their members say their health plan’s app is unreliable¹

Cite inability to self-serve as a major hurdle to care¹

Meet each member where they are with the right guidance and they will make better choices

AI Benefits Navigation

Virtual Primary Care (Text and Video)

Expert Medical Opinion

Cancer Care

Care-as-a-Service

Pharmacy Care

Cardiometabolic Care

Surgery Care

The metrics that matter most

Metric

Industry benchmark

Transcarent result

Your impact

Benefits utilization

13–25%

70%

4.4x higher engagement

Administrative cost reduction

5–10%

40%

~$2.4M annual savings*

ER visit deflection

15–20%

45%

Significant cost avoidance

Member satisfaction

Declining

90+ NPS

Premium retention driver

Benefits utilization

Industry benchmark

13–25%

Transcarent result

70%

Your impact

4.4x higher engagement

Administrative cost reduction

Industry benchmark

5–10%

Transcarent result

40%

Your impact

~$2.4M annual savings*

ER visit deflection

Industry benchmark

15–20%

Transcarent result

45%

Your impact

Significant cost avoidance

Member satisfaction

Industry benchmark

Declining

Transcarent result

90+ NPS

Your impact

Premium retention driver

*Based on 100,000-Member Health Plan analysis

A platform built for scale and security

Preferred partner: powering care for millions through 18 health plan partnerships
Integration-ready: pre-built connectors to common benefits solutions, including HL7 FHIR and EDI capabilities
Cloud-native: API-first architecture supporting unlimited scalability
Predictive insights: Real-time dashboards highlight utilization and ROI trends
Regulatory alignment: CMS interoperability and NCQA virtual care standards

Implementation without disruption