culturabenefits

How care coordination lowers claims cost while improving the plan member experience

Radical support upgrade

Trust

Skyrocketing engagement

Steerage to better healthcare

Happy people & lower claims cost

About Care Coordination

A Concierge Level Experience for Your Employee’s Healthcare Journey

In our care coordination based health plan, health care warriors totally replace the traditional member services function. Your people and their doctors will only have contact with a set team of 25 nurses and plan advocates. They provide empathy and expertise in guiding people through the healthcare maze.

A complete shift from the transactional encounters with standard health plan member services to high touch service experiences. Find providers, solve complex claims, have records transferred to a doctor, etc. The care coordinators make plan members the top priority.

The same team of Care Coordinators who handle all other functions also interact with your people’s medical providers.  Pre-certifications, etc., come from this cohesive group who use empathy and technology to improve the healthcare journey.

Plan members with a chronic condition are automatically assigned a nurse who works in tandem with their medical providers helping patients get better health outcomes.  Nurses are also available to help any patient who needs clinical support.

All the normal plan service functions-just done nicer and easier. Plan members can text and email the care coordinators.  There is no phone tree.  The entire Care Coordination team sits together in one pod.  No more transfers across departments or continents.

The Advantages Are Evident

Over 5x the engagement of traditional health plans

Care Coordinators: Average call time with members is 7.5 minutes vs. 1.5 minutes industry average.
Average engagement of 60% vs. 5-10% general health plan industry average.

56 days sooner with intervention

Care Coordinators engage higher risk members 56 days earlier than other models. This brings a huge advantage in averting medication lapses, undiagnosed conditions, etc. that can produce a worse outcome for plan members and higher cost for the employer plan.

Your people will love their care coordinators

Net Promoter Score
Care Coordinators = 76
Healthcare Industry = 5-15

Radical support upgrade

Trust

Skyrocketing engagement

Steerage to better healthcare

Happy people & lower claims cost