
Health Plan Partners

You have a great product or service but find it difficult to scale because of a lack of clinical resources. Sound familiar?
Shearwater Health provides remote teams of nurses dedicated to all your clinical and quality services lines that give you higher margins and profitability.
Finding quality clinical resources to scale your operations is time-consuming and costly.
To deliver great outcomes you need to produce at a high volume while keeping costs low. We know you need to scale with quality to your Health Plan clients. We’re here to expand the size and impact of your clinical teams.
Remove the stress to fill clinical positions and deliver a full-service solution with the ability to deliver quality outcomes at scale.

Utilization Management
2 Million Annual Reviews

Quality Performance
99% quality rating for medical record reviews in HEDIS

Risk Adjustment
36% cost reduction in Risk Adjustment Coding

Care Management
45% reduction in ER visits due to Health Coaching and Care Coordination
When you work with us, we’ll make sure you have
1. Meaningful collaboration to build customized training programs and workflows for your product or service
2. Scale production and impact by focusing on quality
3. Detailed reporting on quality and efficiency to measure impact
What Our Clients Say
“During a difficult HEDIS season, the one thing that went right was the quality performance of Shearwater.”
“Due to the high quality being performed, you've reduced our rework loop from 12% to 3%”
“Your systems and processes continue to help us improve and grow.”
Contact Us Today to Build Your Clinical Team
Recent Health Plan Articles


The Key to Effective Utilization Management: Better Patient Care, Reduced Cost

3 Best Practices of a Successful Utilization Management Program

Clinical Process Outsourcing: The Future of Healthcare

7 Considerations When Choosing the Best Health Care BPO Partner


Understanding Direct Contracting Entities (DCE): Another Acronym, Another Opportunity


The Impact of Social Determinants of Health Programs


Are You Prepared for Government Oversight as Telehealth Initiatives Expand?


Why Your Business Continuity Plan Failed During a Pandemic [Infographic]


5 Ways Remote Monitoring Improves Healthcare



Prior Authorization: 3 Key Things You Need to Know

