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UNIfied claims processing
Health benefits management will never be the same
Control Costs
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See the drivers of high-cost claims
Access unified data for decision-making
Activate appropriate clinical programs
Run predictive analytics on integrated medical and pharmacy claims
Improve Outcomes
Smarter plan members make smarter decisions
Greater administrative efficiency yields better cost outcomes
Higher member satisfaction
Predictive analytics helps to limit the risk of catastrophic claims
Provide Better Member Care
A single customer care team supports the total health plan (domestic, 24/7/365, multilingual contact center)
Technology aids clear communication
Plan members become smarter “consumers” with access to data and relevant information
JUDI HEALTH
When you do two of everything, it costs at least twice as much
But in health benefits today, it’s worse. We’re doing everything at least 4+ times.
Judi Health eliminates the redundancy in health benefit-related claims processing
Bridges the gaps between providers, payers, patients, and pharmacies
Creates efficiency, fosters transparency, and establishes a foundation for the future of healthcare
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JUDI HEalTH VS. TRADITIONAL MODELS
A new industry standard for health benefit administration
One team streamlines operations and data management across medical and pharmacy
Drive significant optimizations and cost reductions by unlocking total-cost-of-care analytics
Better outcomes, enabling true value-based care through a holistic patient view
One centralized platform improves data management, eliminates redundant processes, and reduces waste
Holistic patient view enhances care coordination and patient safety
Traditional models
“Judi Health offers a unique healthcare solution to enable seamless, transparent, modular, and efficient claims processing. Health plans and providers have not been effectively able to manage their members’ care holistically or control costs because of the disparate claim processing systems and workflows used to manage pharmacy and medical benefits.”
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UNIFIED CLAIMS VIEW
Finally, the full patient story on one screen
With a comprehensive view of a plan member's healthcare journey, plan sponsors can provide a benefits program that meets everyone's needs.
View patient history
Access all claims for a member in one place.
Clear, actionable insights
Filter by claim type, status, or date to quickly find what you need.
Complete care journey
See what medications were filled and what medical services were provided.
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Judi Health represents one of the most significant strides toward value-based care. Its integrated approach redefines how healthcare can and should work.
Sunil Budhrani, MD, MPH, MBA
Chief Innovation & Medical Officer
Who should consider the Judi Health Platform?
TeSTIMONIALS
What our members are saying
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A Capital Rx member with depression, anxiety, obesity, and high cholesterol joined Rx Activate’s Obesity Step Solution, OSS. They started OSS already taking a GLP-1 for weight loss, but reported significant side effects to the Vida Care Team during enrollment. The member’s registered dietitian worked to personalize an intensive medical nutrition therapy and care plan to help the member achieve their health goals. Within 5 months, the member achieved 17% weight loss* and reported reduced symptoms of mild depression and anxiety.
*Results may vary. Research indicates the typical overweight or obese participant willexperience a body weight reduction of 7.2% and 7.5%, respectively.
I was identified for Capital Rx's Rx Helix program because of medications I was taking. My pharmacogenetic test results showed a few moderate drug-gene interactions, but I hadn't experienced any side effects from them. During the review, a pharmacist saw I was using three different anti-inflammatory medications at the same time, one of which was Ketorolac for migraines. The pharmacist explained that using Ketorolac for more than five days increases the risk of serious complications, including gastrointestinal issues, bleeding, and kidney damage. She contacted my doctor to recommend discontinuing the Ketorolac, and the doctor agreed. No further refills have been issued. I was very satisfied with my experience in the Rx Helix program. - Texas-based Plan Member
In just one day, four plan members were supported in transitioning to more affordable therapy options through the Rx Smart Save Level 2 program. Thanks to collaboration with prescribers and pharmacies, these members are now benefiting from a combined annualized savings of $3,403.44, plus $8,964.08 in annualized savings for the plan.
"The Judi platform has been incredibly user-friendly. I can easily check my deductible balance on their website, and the customer service agents have been exceptional and timely in addressing my questions."
"Judi Health works with best in breed solution partners that deliver convenience, improved outcomes and cost savings to members.”
"Judi Health has transformed my healthcare experience. The platform is intuitive and easy to navigate, and the range of services available is impressive."
"The variety of services available has made managing my health so much easier and more efficient."
FAQ
Frequently asked questions
What is Judi Health?
Judi Health is the industry’s first unified claim processing platform that seamlessly administers both pharmacy and medical claims on one platform. Designed for employer plan sponsors, health systems, and health plans, Judi operates on a single, integrated platform to simplify benefits management and improve care coordination.
Is Judi Health a secure platform for managing healthcare benefits?
Yes. Judi Health is built with security at its core, following FISMA NIST 800-53 controls - among the most rigorous in the industry. Its serverless architecture and use of fully-managed AWS services reduce vulnerabilities and minimize ransomware risks. Judi also provides:
- Real-time monitoring for threats and anomalies
- Advanced malware and vulnerability detection
- Extensive content filtering to protect end users
Is Judi Health a plug-and-play solution for payers and health plans?
Easily integrate your choice of best-in-class point solutions, such as telemedicine, disease management or women's health directly into Judi Health to continue providing uninterrupted benefits to your members.
How does Judi Health help with regulatory compliance?
Judi Health streamlines annual compliance by:
- Validating SBCs with Phia to ensure accuracy
- Managing timely and accurate 5500 filings
- Supporting full ERISA documentation and disclosures
- Handling state-specific reporting like NY’s HCRA
How does Judi Health support the transition to value-based care?
Judi Health™ supports the shift to value-based care by integrating medical and pharmacy claims into a single platform. This unified system enables real-time data sharing, centralized services, and innovative pricing models, which help reduce administrative burden and improve care coordination.
While the healthcare system is still fragmented, with providers, payers, pharma, and PBMs often working independently, Judi Health helps bridge these gaps. By offering comprehensive data collection and analysis, the platform empowers all stakeholders to collaborate more effectively, align incentives, and advance toward better outcomes in quality, equity, and cost.
