With Castlight's new mobile tool, companies can give their employees access to real-time info on the best prices for medical services in their health plans.
As the Supreme Court
examined the
constitutionality
of the Obama administration's health care reform, software as a service
(SaaS) provider Castlight Health launched a mobile version of its personalized
health care shopping tool for Apple iOS and Google Android devices. The company
also offers a mobile Web version optimized for RIM BlackBerry smartphones.
Launched March 28, the tool
allows employees of companies to connect to a Web-based portal and research
prices for doctors and medical procedures. The service tracks their progress as
they use health benefits and meet deductibles.
"Castlight is designed
to help the [corporate] buyers of health care and their employees get the best
value for their money," Ethan Prater, vice president of products at
Castlight, told
eWEEK.
Todd Park, the
newly
named U.S. chief technology officer, co-founded Castlight in 2008. Park
left the company when he was named CTO of the U.S. Department of Health and
Human Services. Dr. Giovanni Colella, Castlight's current president and CEO,
also founded the company along with Dr. Bryan Roberts, a partner in venture
capital firm Venrock.
Castlight was named No. 1 on
The Wall Street Journal'
s "Top 50 Venture-Backed
Companies" for 2011.
By offering the app,
Castlight aims to make health care costs more transparent.
"While health care
reform is a key polarizing issue for the American public, one aspect both sides
of the aisle agree on is creating more informed and healthy Americans through
increased transparency into the cost and quality of health care," said
Prater.
Users can sign on to
Castlight's service to personalize their searches for health services in their
plans based on out-of-pocket costs, deductibles and quality. "The
personalization aspect is showing what the employer pays and what you
pay," said Prater.
A graphical display shows
the amount of benefits patients have used up, including how far along they are
in meeting deductibles.
The app also allows users to
get pricing on lab tests according to their health plans. For example, a
colonoscopy could cost $600 or $4,800, depending on negotiated rates, said
Prater, adding that users may be unaware of these price differences. "When
they're on a high-deductible plan, it's important to know that," he said.
Algorithms and data
analytics in the apps allow users to search according to their medical needs, location
and deductible levels. The algorithms data-mine a massive amount of claims and
provider rate tables to come up with personalized info on pricing, said Prater,
with logic applied to the searches in real time. He compared the
comparison-shopping functionality of Castlight to an online shopping site for
books or travel.
The tool uses the 270/271
benefits eligibility system established under the Health Insurance Portability
and Accountability Act (
HIPAA)
to make the status of patients' health benefits available in real time, Prater
explained. It indicates how much of their deductibles patients have met, what
their co-pays are and whether they're required to pay co-insurance.
Like the
iTriage
app Aetna relaunched March 5, Castlight's app lets users search for
providers and urgent care centers. (iTriage is also focused on understanding
health symptoms.)
In Castlight's app, geolocation
features enable users to search for urgent care centers and labs. It also
provides customer ratings on providers' services, which are mostly in-network.
The tool could be helpful for users on the go who need to find a lab center
after seeing their primary care provider, Prater noted.
Patients can access provider
ratings on areas such as follow-up, amount of time spent with patient, bedside
manner, accuracy of diagnoses and ease of appointment scheduling. They can then
call the provider from the app and get directions.
Other price-comparison tools
have launched to help people keep their medical costs down. On Jan. 25,
LowestMed introduced a mobile app that allows consumers to
compare
drug prices at pharmacies. LowestMed shows prices at major pharmacy chains,
and the company's Website offers info on mom-and-pop drugstores as well.