The Problem: Rising Chronic Costs

Chronic conditions are responsible for some 75% or our annual healthcare cost. However, identifying members that are driving these costs is only part of the problem. What is critical is the ability to drive member and PCP acceptance of Prospective Health Assessments and then share this information with PCP and care management staff so that gaps in care can be closed and STARS ratings can be improved.

The Solution: Prospective Health Assessments

Features

  • Increased PCP and member multi-channel outreach and support
  • Multi-site service options
  • New member program to engage members from the beginning rather than waiting until they are identified
  • Verisk Health call center supporting member preference
  • Predictive targeting to enhance ROI

Benefits

  • Higher acceptance and satisfaction rates improve STARS ratings
  • Electronic capture of assessment makes data available to the PCP and care management staff
  • On-site lab tests and instant results demonstrate commitment to high clinical standards, allow for monitoring and analyzing a complete view of Star performance, assessing both HEDIS and non-HEDIS elements, and help maximize revenue potential

Next Steps

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