Embold Plus
AI-powered navigation with minimal disruption to existing carrier relationships
Company profile
Company profile
Quantum Health is the leader in healthcare navigation, serving over 20 million members across 570+ employer clients of all sizes. For more than two decades, the company has simplified the healthcare experience by providing personalized guidance through every stage of care—from childbirth to cancer treatment. Their approach combines dedicated care teams (called Healthcare Warriors) with advanced AI technology and decades of employee and provider data to deliver proactive, member-first support. The company offers three customizable navigation solutions: Embold Plus for AI-powered navigation with minimal disruption, Quantum Flex for customizable navigation experiences, and Quantum Signature for comprehensive navigation with maximum savings. Through a single app and phone number, members receive immediate access to real physicians, benefits expertise, and care coordination. Quantum Health's innovative technology identifies when members are about to begin a care journey, enabling early intervention an average of 90 days before the first claim is received. Quantum Health serves employers across all industries, from growing businesses to Fortune 20 companies, delivering measurable results including 6% claims savings in year one (10% by year three), 90% engagement of members with high-cost claims, and Net Promoter Scores above 70. The company's pod-based care model assigns collaborative teams of benefits experts, claims specialists, and nurses to each client, ensuring personalized support that understands each organization's plan, goals, and culture.
Company description Quantum Health official website
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01 · Operating footprint
Company-profile context for clinical focus, customers, deployment, integration, milestones, and partnerships.
Cloud Saas · Hybrid deployment with recorded integration context.
Recorded integration context: claims data systems, EHR systems, Embold Health provider analytics, pharmacy benefits.
Company milestones
Launched navigation for State of Connecticut in April 2023 with 217,000 members. Held Connect 2026 conference. Released new research with Employee Benefit News on healthcare engagement barriers.
Partnerships
02 · Flagship portfolio
Selected source-backed Company products and the available commercial context.
AI-powered navigation with minimal disruption to existing carrier relationships
Single point of contact for healthcare navigation via mobile app
Specialized navigation support for members facing complex cancer diagnoses
Customizable navigation experience tailored to organizational needs, budget and timeline
Comprehensive navigation for maximum medical and pharmacy savings with high-touch guidance
03 · Research intelligence
Publications, preprints, clinical validation, and regulatory records in Evidence Position order.
Publications, clinical validation, and regulatory records connected to this Company appear here.
Research
Journal of the American Society of Nephrology : JASN · Apr 1, 2026
Implementability and impact in clinical research and the role of clinical trial networks.The Medical journal of Australia · Oct 21, 2024
Evolving Employer-Sponsored Health Care Toward a Post-COVID-19 Marketplace.Population health management · Dec 1, 2021
Effect of the COVID-19 pandemic on cancer treatment and research.The Lancet. Haematology · Jun 1, 2020
Use of Virtual Reality to Distract From Pain and Anxiety.Oncology nursing forum · Jul 2, 2018
Towards understanding the breast cancer epigenome: a comparison of genome-wide DNA methylation and gene expression data.Oncotarget · Jan 19, 2016
Clinical validation
No linked records are currently available.
Regulatory
No linked records are currently available.
04 · Company-reported outcomes
Company-reported outcomes and customer stories are distinct from linked Research Intelligence evidence.
Overall cost reduction for employer clients
Members with high-cost claims
Average time before first claim is received
State of Connecticut case study
State of Connecticut
State of Connecticut phone engagement
State of Connecticut satisfaction scores
Reducing healthcare costs and improving employee health through balanced navigation approach
Managing healthcare benefits for 217,000 members including employees, retirees and local public sector small groups, addressing fragmented benefits experience and underutilized programs
4x ROI, 70% member engagement by phone, 92% of claims dollars actively managed, +86 NPS for providers and +72 NPS for members
Boosting benefits utilization and health outcomes through healthcare navigation
Member-centered care with proven results
Enhancing member experience for employees through healthcare navigation partnership
Improving member experience and reducing healthcare costs through healthcare navigation
Prioritizing member experience and engagement through healthcare navigation
Transforming employees' benefits understanding with healthcare navigation
Controlling costs and improving member experience through healthcare navigation
05 · Leadership
Leadership profiles and professional links from the current Company record.
06 · Company updates
Recent articles published on Quantum Health's official website.
07 · HAIC coverage
Health AI Central reporting that mentions this Company.
No HAIC coverage is currently linked to this Company.
08 · Official presence
Curated official destinations from the active Company record.
09 · Market pathway
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Market context
Companies using AI to optimize hospital operations, automate administrative workflows, improve scheduling, manage healthcare resources, coordinate care delivery, or reduce operational inefficiencies. Includes prior authorization automation, credentialing, billing, care coordination, and AI tools that help health systems run more efficiently.
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