Commercial Health Plans
Elevating the member experience while deflating costs
With nearly 25 years of experience, we understand the complex healthcare arena and your need to improve care and ratings while reducing costs. And we know the key to better health is timely, actionable information.
Our Health Plan Solution elevates member experiences and engagement while ensuring the wisest use of healthcare dollars. By combining actionable data with our finely tuned engagement practices, we maximize every interaction and proactively engage members minimizing health challenges before they become problems.
We help members navigate their plan from benefit explanations to hospital selection. Members are guided to the appropriate level of care whether it’s our nurse triage team, a disease management program or their physician.
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To raise compliance, outcomes and ratings and control costs, our engagement program educates members on HEDIS-related screenings, ER alternatives, post-discharge care and more.
Available 24/7 via the web, email, chat, phone and SMS text, our live and automated services, like agentless messaging, ensure your members can obtain assistance whenever they need it.
Elevate your member experience, engagement and health while deflating costs and boosting ratings. Contact us to start now.
Education Elevates Exam Compliance 160%
Personalized outreach by highly skilled engagement specialists elevates exam compliance, outcomes and rating.
Imaging Information Saves Members $11.5M
Proactive outreach guides members to lower-cost facilities saving an average of $400 per test.
Personalized Support Propels Enrollment
Expert engagement specialists enroll 45% of members in prescription drug mail-order service.
Drug Switch Cuts $4.7M
Engagement team switches members to generic statins saving up to $500 per prescription and $4.7 million annually.
Advocates Enhance Employee Well-being
Expert care given to US Intelligence employees and their families eases stress and boosts productivity.
Value-Focused Messaging Drives Demand
Member education on health coaching benefits drives demand to maximum capacity.
Screenings & Savings Amplified
Engagement and education amplifies mammogram compliance exceeding goal by 165% and generating $2 million.
Performance Jumps 200%, $9M Generated
Multi-touch strategy empowers Medicare members to get exams boosting clinical and financial outcomes.
ER Use Down, Savings Up $3.25M
Clinical team minimizes nonurgent ER usage by 65% saving a premier plan $3.25 million.