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Health Plans

Don’t exhaust your clinical resources or pay a premium for seasonal clinicians

Shearwater Health helps you achieve quality outcomes with a team of nurses dedicated to all your clinical and quality departments.

The U.S. nursing shortage causes rising labor costs and retention issues.

We understand that you want a strategic solution to support your internal efforts while keeping costs low and increasing the retention of your current nurses. We’re here to expand the size and impact of your clinical teams.

Work with Us

Feel confident that your domestic teams are practicing at the peak of their license while a dedicated remote team creates impactful business outcomes.

Utilization Management

2 Million Annual Reviews

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Quality Performance

99% quality rating for medical record reviews in HEDIS

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Risk Adjustment

36% cost reduction in Risk Adjustment Coding

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Care Management

45% reduction in ER visits due to Health Coaching and Care Coordination

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A True Extension of Your Team

  • Over 3,000 clinicians worldwide solving medical and administrative problems every hour of every day
  • Exclusive focus on healthcare workflows and companies
  • Secure facilities with zero data or security breaches



When you work with us:

1. We'll determine your area of focus to get the highest ROI in the shortest time possible.
2. We'll design an offering that allows you to scale your workflows remotely.
3. We'll collaborate to staff and train a dedicated team that creates organizational impact.

What Our Clients Say

We work with 8 of the Top 10 Health Plans

“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.”

 

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Contact Us Today to Build Your Clinical Team